| NPI | 1962747212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALU GADHE Owner 888-291-1358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2020-08-24 |