| NPI | 1881875540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHID KHAIRI Owner 317-577-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01025488A) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2008-01-08 |