| NPI | 1972501559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAKSHA P MEHTA Owner/President 270-769-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 30757) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-08-22 |