| NPI | 1992239479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUSHRA SHAH Owner 501-552-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AR E-3672) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |