All Medicaid billing entities listing GIST, KHAISHA (MEDICAL DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $17.33 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | HYDE PARK MEDICAL GROUP, PLLC | SMYRNA, TN | Family Medicine Physician | $17.33 |