| NPI | 1790810513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEENA ANEES Md 660-372-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 101572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: 2004014268) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 101538) | |
| 363L00000X Nurse Practitioner (Licence: 084895) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-10-03 |