| |
10122 E 10th St Suite 210 Indianapolis IN 46229-2675 | |
(317) 355-2230 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 10122 E 10th St, 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 |
---|---|
10122 E 10th St Suite 210 Indianapolis IN 46229-2675 Ph: (317) 355-2230 | 10122 E 10th St Suite 210 Indianapolis IN 46229-2675 Ph: (317) 355-2230 |
NPI Number | 1598786261 |
---|---|
Provider Enumeration Date | 07/21/2006 |
Last Update Date | 11/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598786261 | NPI | - | NPPES |
200994880A | Medicaid | IN | |
200325490W | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
Cadience Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5602 Caito Dr, Indianapolis, IN 46226 Phone: 901-235-2065 |