| |
9015 E 17th St Indianapolis IN 46229-2016 | |
(317) 898-3166 | |
(317) 898-4219 |
Full Name | |
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Speciality | Internal Medicine |
Location | 9015 E 17th St, Indianapolis, Indiana |
Authorized Official Name and Position | Jeffery Kirkham (CFO) |
Authorized Official Contact | 3173555822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9015 E 17th St Indianapolis IN 46229-2016 Ph: (317) 898-3166 | 9015 E 17th St Indianapolis IN 46229-2016 Ph: (317) 898-3166 |
NPI Number | 1497792451 |
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Provider Enumeration Date | 05/31/2006 |
Last Update Date | 03/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497792451 | NPI | - | NPPES |
200325490H | Medicaid | IN | |
000000312985 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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