| NPI | 1962423285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD N NASRATY Owner 812-948-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-01-08 |