| NPI | 1922035203 |
|---|---|
| Doing Business As | KERN PHYSICIANS MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | FAKHRUDDIN HASTA President 611-322-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A50871) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A63225) |
| 208D00000X General Practice (Licence: CA 20A5922) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 20A9285) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |