| Prohealth Physicians | |
|
2675 Chalbury Dr Plainfield IN 46168-7810 | |
| (317) 864-6240 | |
| Not Available |
| Full Name | Prohealth Physicians |
|---|---|
| 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 |
|---|---|
| Prohealth Physicians 2675 Chalbury Dr Plainfield IN 46168-7810 Ph: () - | Prohealth Physicians 2675 Chalbury Dr Plainfield IN 46168-7810 Ph: (317) 864-6240 |
| NPI Number | 1457139552 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 4981050044 |
|---|---|
| Medicare Enrollment ID | O20231025002017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457139552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chenai M Mvundura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407405756 PECOS PAC ID: 1759715162 Enrollment ID: I20191218000171 |
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