| NPI | 1811318959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVEEN R BEKKAM President 866-727-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35.088943) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2014-05-05 |