| Indiana University | |
|
1001 W 10th St # M200 Indianapolis IN 46202-2859 | |
| (317) 365-4260 | |
| Not Available |
| Full Name | Indiana University |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 W 10th St # M200, Indianapolis, Indiana |
| Authorized Official Name and Position | Mitchell Goldman (PROFESSOR OF MEDICINE) |
| Authorized Official Contact | 3176306857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University 1001 W 10th St # M200 Indianapolis IN 46202-2859 Ph: (317) 365-4260 | Indiana University 1001 W 10th St # M200 Indianapolis IN 46202-2859 Ph: (317) 365-4260 |
| NPI Number | 1912252594 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912252594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11016515A (Indiana) | Primary |
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