| NPI | 1861364887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARTH H SHAH Member 270-839-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |