Palt Med | |
800 N Bell Trace Cir Bloomington IN 47408-4405 | |
(512) 417-3733 | |
Not Available |
Full Name | Palt Med |
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Speciality | Internal Medicine |
Location | 800 N Bell Trace Cir, Bloomington, Indiana |
Authorized Official Name and Position | Priti V Jindal (OWNER) |
Authorized Official Contact | 8122601394 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Palt Med Po Box 7677 Bloomington IN 47407-7677 Ph: (812) 260-1394 | Palt Med 800 N Bell Trace Cir Bloomington IN 47408-4405 Ph: (512) 417-3733 |
NPI Number | 1750870499 |
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Provider Enumeration Date | 05/08/2018 |
Last Update Date | 05/21/2022 |
Medicare PECOS PAC ID | 7911254974 |
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Medicare Enrollment ID | O20180720002877 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750870499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01075098A (Indiana) | Primary |
Provider Name | Priti V Jindal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003850322 PECOS PAC ID: 3375592322 Enrollment ID: I20150624002331 |
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