| Apkamd | |
|
7345 Woodland Dr Ste 1 Indianapolis IN 46278-1737 | |
| (317) 762-4025 | |
| (317) 759-4003 |
| Full Name | Apkamd |
|---|---|
| Speciality | Internal Medicine |
| Location | 7345 Woodland Dr Ste 1, Indianapolis, Indiana |
| Authorized Official Name and Position | Leo Obrique (VICE PRESIDENT OF TECHNOLOGY) |
| Authorized Official Contact | 3175619125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apkamd 7345 Woodland Dr Ste 1 Indianapolis IN 46278-1737 Ph: (877) 843-2351 | Apkamd 7345 Woodland Dr Ste 1 Indianapolis IN 46278-1737 Ph: (317) 762-4025 |
| NPI Number | 1952979288 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 04/18/2022 |
| Medicare PECOS PAC ID | 8820476070 |
|---|---|
| Medicare Enrollment ID | O20220601000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952979288 | NPI | - | NPPES |
| 01054614A | Other | IN | INTERNAL MEDICINE LICENSE - IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jude Jimmy Momodu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912924549 PECOS PAC ID: 5092709154 Enrollment ID: I20040412001145 |
| Provider Name | Prabhjot Pannu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447295399 PECOS PAC ID: 8729229265 Enrollment ID: I20230321000296 |
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