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8075 N Shadeland Ave Suite 200 Indianapolis IN 46250-2693 | |
(317) 621-9312 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 8075 N Shadeland Ave, Indianapolis, Indiana |
Authorized Official Name and Position | Holly Millard (CFO) |
Authorized Official Contact | 3176219312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6626 E. 75th Street Suite 500 Indianapolis IN 46250-2894 Ph: () - | 8075 N Shadeland Ave Suite 200 Indianapolis IN 46250-2693 Ph: (317) 621-9312 |
NPI Number | 1104032671 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 07/10/2014 |
Identifier | Type | State | Issuer |
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1104032671 | NPI | - | NPPES |
200861380 | Medicaid | IN | |
201033120 | Medicaid | IN | |
000000525347 | Other | IN | ANTHEM |
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