| NPI | 1962668137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANT C BHALERAO Director Clinic 733-257-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036046837) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036046837) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-26 |