| NPI | 1932190865 |
|---|---|
| Doing Business As | DOCTORS IMMEDICARE |
| Entity Type | Organization |
| Authorized Contact | PRAKASH PURANIK Member 304-252-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-02-06 |