| NPI | 1851753636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY VARGHESE PALLAN President 913-980-9289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-137215) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-07-09 |