| NPI | 1902578586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARVIND CHANDILYA CHAKRAVARTHY Physician 810-814-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2022-02-23 |