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5430 E Washington St Indianapolis IN 46219-6446 | |
(317) 969-7935 | |
(877) 964-5129 |
Full Name | |
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Speciality | Internal Medicine |
Location | 5430 E Washington St, Indianapolis, Indiana |
Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | 5430 E Washington St Indianapolis IN 46219-6446 Ph: (317) 969-7935 |
NPI Number | 1659071744 |
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Provider Enumeration Date | 03/07/2023 |
Last Update Date | 07/01/2024 |
Identifier | Type | State | Issuer |
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1659071744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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