Medical Associates Of Terre Haute, Llc | |
4320 S 7th St Terre Haute IN 47802-4301 | |
(812) 905-0912 | |
(812) 905-0913 |
Full Name | Medical Associates Of Terre Haute, Llc |
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Speciality | Internal Medicine |
Location | 4320 S 7th St, Terre Haute, Indiana |
Authorized Official Name and Position | Ajay Deshpande (MANAGING PARTNER) |
Authorized Official Contact | 8126050543 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Associates Of Terre Haute, Llc 4320 S 7th St Terre Haute IN 47802-4301 Ph: () - | Medical Associates Of Terre Haute, Llc 4320 S 7th St Terre Haute IN 47802-4301 Ph: (812) 905-0912 |
NPI Number | 1235769456 |
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Provider Enumeration Date | 01/16/2020 |
Last Update Date | 01/16/2020 |
Medicare PECOS PAC ID | 8820424294 |
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Medicare Enrollment ID | O20200203001290 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235769456 | NPI | - | NPPES |
Provider Name | Shreelekha A Deshpande |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740260710 PECOS PAC ID: 5698804425 Enrollment ID: I20100603000482 |
Provider Name | Ajay D Deshpande |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1629058680 PECOS PAC ID: 8123181336 Enrollment ID: I20100603000641 |
Provider Name | Lindsay P Gamble |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720636475 PECOS PAC ID: 8527399856 Enrollment ID: I20191017000231 |
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