| NPI | 1801404165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH LOHANO Owner 812-698-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |