| NPI | 1881121614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAN MEHTA President 540-300-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 2086X0206X Surgery, Surgical Oncology | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-05-26 |