| NPI | 1962203372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUJ KANDEL Owner 888-616-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-10-08 |