| NPI | 1881692861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED KAZIMUDDIN President 270-782-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-07-21 |