| NPI | 1962828137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESHKUMAR BHAGWANDAS PATEL President 423-737-8059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN MD41317) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2024-02-09 |