| Serenity Medical Center West Llc | |
|
10765 Lantern Road Suite 202 Fishers IN 46038-3597 | |
| (317) 621-4170 | |
| (317) 621-4182 |
| Full Name | Serenity Medical Center West Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10765 Lantern Road, Fishers, Indiana |
| Authorized Official Name and Position | Syed J Khan (PARTNER) |
| Authorized Official Contact | 3176214170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Medical Center West Llc 10765 Lantern Road Suite 202 Fishers IN 46038-3597 Ph: (317) 621-4170 | Serenity Medical Center West Llc 10765 Lantern Road Suite 202 Fishers IN 46038-3597 Ph: (317) 621-4170 |
| NPI Number | 1467736561 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467736561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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