| NPI | 1861928228 |
|---|---|
| Former Legal Business Name | SUMMIT OBSTETRICS & GYNECOLOGY PSC |
| Entity Type | Organization |
| Authorized Contact | SUZANNE MV RASHIDIAN Co Owner 270-478-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2024-04-16 |