| Albert Blake Md | |
|
9015 E 17th St Indianapolis IN 46229-2016 | |
| (317) 898-3166 | |
| (317) 898-4219 |
| Full Name | Albert Blake Md |
|---|---|
| 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 |
|---|---|
| Albert Blake Md 9015 E 17th St Indianapolis IN 46229-2016 Ph: (317) 898-3166 | Albert Blake Md 9015 E 17th St Indianapolis IN 46229-2016 Ph: (317) 898-3166 |
| NPI Number | 1497792451 |
|---|---|
| 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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