| NPI | 1891311791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED BOKHARI Practice Manager 812-590-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |