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2675 Chalbury Dr Plainfield IN 46168-7810 | |
(317) 864-6240 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 2675 Chalbury Dr, Plainfield, Indiana |
Authorized Official Name and Position | Chenai Mvundura (MANAGER) |
Authorized Official Contact | 3178646240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2675 Chalbury Dr Plainfield IN 46168-7810 Ph: () - | 2675 Chalbury Dr Plainfield IN 46168-7810 Ph: (317) 864-6240 |
NPI Number | 1457139552 |
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Provider Enumeration Date | 09/19/2023 |
Last Update Date | 10/10/2023 |
Medicare PECOS PAC ID | 4981050044 |
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Medicare Enrollment ID | O20231025002017 |
Identifier | Type | State | Issuer |
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1457139552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Chenai M Mvundura |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407405756 PECOS PAC ID: 1759715162 Enrollment ID: I20191218000171 |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9998 Allpoints Parkway, Plainfield, IN 46168 Phone: 877-286-9809 | |
Indy Integrative Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 E Main St, Ste 309, Plainfield, IN 46168 Phone: 260-579-7683 |