NPI | 1972385078 |
---|---|
Entity Type | Organization |
Authorized Contact | KANDARP SHAH President 559-367-8432 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2023-10-16 |
Last Update Date | 2024-11-09 |