| NPI | 1811925498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARN S NANDRA Owner 740-284-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35064092) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 18745) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD073173L) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-10-06 |