| NPI | 1801818422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHWINI ANAND CEO 606-862-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: KY 31680) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 37920) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: KY 38197) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 39423) | |
| 363L00000X Nurse Practitioner (Licence: KY 3791P) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-06-21 |