| Diabetes Internal Medicine And Endocrinology | |
|
8205 E 56th Street Suite 100 Indianapolis IN 46216-1056 | |
| (317) 621-4044 | |
| (317) 621-4050 |
| Full Name | Diabetes Internal Medicine And Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 8205 E 56th Street, Indianapolis, Indiana |
| Authorized Official Name and Position | Jeffery Kirkham (CFO) |
| Authorized Official Contact | 3173555822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Internal Medicine And Endocrinology 8205 E 56th Street Suite 100 Indianapolis IN 46216-1056 Ph: (317) 621-4044 | Diabetes Internal Medicine And Endocrinology 8205 E 56th Street Suite 100 Indianapolis IN 46216-1056 Ph: (317) 621-4044 |
| NPI Number | 1407809106 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 10/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407809106 | NPI | - | NPPES |
| 200406960H | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
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