| South Central General And Geriatric Psychiatry Pc | |
|
8651 Jaffa Court East Dr Apt 11 Indianapolis IN 46260-5329 | |
| (317) 414-7372 | |
| (502) 415-7468 |
| Full Name | South Central General And Geriatric Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 8651 Jaffa Court East Dr Apt 11, Indianapolis, Indiana |
| Authorized Official Name and Position | Arthur Lyakhovetsky (PRESIDENT) |
| Authorized Official Contact | 3174147372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central General And Geriatric Psychiatry Pc 1305 Washington St Hollywood FL 33019-1812 Ph: (317) 414-7372 | South Central General And Geriatric Psychiatry Pc 8651 Jaffa Court East Dr Apt 11 Indianapolis IN 46260-5329 Ph: (317) 414-7372 |
| NPI Number | 1245648617 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245648617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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