| Cityblock Medical Practice, P.a. | |
|
2301 N Meridian St Indianapolis IN 46208-5729 | |
| (800) 336-1100 | |
| Not Available |
| Full Name | Cityblock Medical Practice, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2301 N Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | Oluwatoyin T Ajayi (PRESIDENT AND SOLE SHAREHOLDER) |
| Authorized Official Contact | 8339042273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cityblock Medical Practice, P.a. 495 Flatbush Ave Ste C5 Brooklyn NY 11225-3706 Ph: (833) 904-0620 | Cityblock Medical Practice, P.a. 2301 N Meridian St Indianapolis IN 46208-5729 Ph: (800) 336-1100 |
| NPI Number | 1255108353 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255108353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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