| NPI | 1821838590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMRANJIT SINGH Member 812-655-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2025-06-08 |