| Southern Medical Corporation Pc | |
|
6433 E Washington St Suite 125 Indianapolis IN 46219-6677 | |
| (317) 923-1274 | |
| (317) 924-4436 |
| Full Name | Southern Medical Corporation Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6433 E Washington St, Indianapolis, Indiana |
| Authorized Official Name and Position | Cheryle Dawn Southern (PHYSICIAN) |
| Authorized Official Contact | 3179231274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Medical Corporation Pc 6433 E Washington St Suite 125 Indianapolis IN 46219-6677 Ph: (317) 923-1274 | Southern Medical Corporation Pc 6433 E Washington St Suite 125 Indianapolis IN 46219-6677 Ph: (317) 923-1274 |
| NPI Number | 1093901480 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093901480 | NPI | - | NPPES |
| 100237790A | Medicaid | IN | |
| 000000086109 | Other | IN | ANTHEM |
| 110014372 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01033547A (Indiana) | Primary |
Moazzam Habib Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9240 N Meridian St, Suite 240, Indianapolis, IN 46260 Phone: 317-571-0030 Fax: 317-571-0031 | |
Shalom 56th Street-new Access Point Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5750 W 56th St, Indianapolis, IN 46254 Phone: 317-291-7422 Fax: 317-291-4912 | |
Franciscan Health Indianapolis & Mooresville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230a East Stop 11 Road, Suite 250, Indianapolis, IN 46237 Phone: 317-528-8921 Fax: 317-528-6916 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8888 Keystone Xing Ste 1300, Indianapolis, IN 46240 Phone: 773-292-4800 Fax: 312-564-4059 | |
Eskenazi Health Center Cottage Corner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Shelby St, Indianapolis, IN 46203 Phone: 317-655-3200 Fax: 317-655-3210 | |
Hello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 E 86th St, Suite 48-a, Indianapolis, IN 46240 Phone: 317-569-1800 | |
Indiana Neurodiagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9465 Counselors Row, Ste. 200 Office 257, Indianapolis, IN 46240 Phone: 317-614-0310 Fax: 866-279-4704 |