| Ltc Aco | |
|
9894 E 121st St Fishers IN 46037-4154 | |
| (317) 621-6060 | |
| (317) 355-6965 |
| Full Name | Ltc Aco |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 9894 E 121st St, Fishers, Indiana |
| Authorized Official Name and Position | Ramarao Yeleti (MD, EVP) |
| Authorized Official Contact | 3178877880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltc Aco 9894 E 121st St Fishers IN 46037-4154 Ph: (317) 621-6060 | Ltc Aco 9894 E 121st St Fishers IN 46037-4154 Ph: (317) 621-6060 |
| NPI Number | 1366123176 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 08/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366123176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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