| NPI | 1932408218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJNI GUPTA Office Manager 606-324-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: KY 32686) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |