Community Gastroenterology Pc | |
1400 N Ritter Ave Ste 210 Indpls IN 46219 | |
(317) 355-4191 | |
(317) 355-1131 |
Full Name | Community Gastroenterology Pc |
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Speciality | Internal Medicine - Gastroenterology |
Location | 1400 N Ritter Ave, Indpls, Indiana |
Authorized Official Name and Position | Janet I Katz (OFFICE MANAGER) |
Authorized Official Contact | 3173554191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Gastroenterology Pc 1400 N Ritter Ave Ste 210 Indpls IN 46219 Ph: (317) 355-4191 | Community Gastroenterology Pc 1400 N Ritter Ave Ste 210 Indpls IN 46219 Ph: (317) 355-4191 |
NPI Number | 1033217534 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 10/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033217534 | NPI | - | NPPES |
000000087872 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 01034292 (Indiana) | Primary |