| NPI | 1972766475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINODRAI BHAGWANJI LAKHANI Owner 304-768-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 10349) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2013-03-14 |