| |
6330 Castleplace Dr # 130 Indianapolis IN 46250-1902 | |
(317) 570-7900 | |
Not Available |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 6330 Castleplace Dr # 130, Indianapolis, Indiana |
Authorized Official Name and Position | Michael H Levine (PRESIDENT) |
Authorized Official Contact | 3175707900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6330 Castleplace Dr # 130 Indianapolis IN 46250-1902 Ph: (317) 570-7900 | 6330 Castleplace Dr # 130 Indianapolis IN 46250-1902 Ph: (317) 570-7900 |
NPI Number | 1144305400 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 06/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144305400 | NPI | - | NPPES |
100072000 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 50001071A (Indiana) | Primary |
2084S0012X | Psychiatry & Neurology - Sleep Medicine | 50001071A (Indiana) | Secondary |
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