Sujata Panthi, MD | |
1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | |
(317) 843-0000 | |
Not Available |
Full Name | Sujata Panthi |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1115 Ronald Reagan Pkwy, Avon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407222714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 57465 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 25670 (Mississippi) | Secondary |
207R00000X | Internal Medicine | 1407222714 (Indiana) | Primary |
Entity Name | University Medical Diagnostic Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510 |
Mailing Address | Practice Location Address |
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Sujata Panthi, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Sujata Panthi, MD 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 Ph: (317) 843-0000 |
Namrata Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy Ste B1500, Avon, IN 46123 Phone: 317-217-2244 Fax: 317-217-2249 | |
Graham D Dellinger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-217-2888 Fax: 317-217-2999 | |
Caitlin M Baxter, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-962-5820 Fax: 317-962-3916 | |
Dr. Stephen H Pollom, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy, Ste 318, Avon, IN 46123 Phone: 317-217-2600 Fax: 317-217-2606 | |
Dr. David Lee Hyslop, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6013 Yellow Birch Ct, Avon, IN 46123 Phone: 317-838-7096 | |
Michaela A Besold, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8244 E Us Highway 36, Suite 1320, Avon, IN 46123 Phone: 317-272-7519 Fax: 317-272-3661 | |
Ibrahim S Abu Romeh, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy, Ste 171, Avon, IN 46123 Phone: 317-217-3000 Fax: 317-273-5988 |