| Sure Success Medical | |
|
6100 N Keystone Ave Suite 105 Indianapolis IN 46220-2452 | |
| (317) 253-7795 | |
| (317) 253-7798 |
| Full Name | Sure Success Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 6100 N Keystone Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Sheila B Thomas (SOLE PROPRIETOR) |
| Authorized Official Contact | 3172537795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sure Success Medical 6100 N Keystone Ave Suite 105 Indianapolis IN 46220-2452 Ph: (317) 253-7795 | Sure Success Medical 6100 N Keystone Ave Suite 105 Indianapolis IN 46220-2452 Ph: (317) 253-7795 |
| NPI Number | 1396160339 |
|---|---|
| Provider Enumeration Date | 02/27/2014 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396160339 | NPI | - | NPPES |
| 200953660 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02003529B (Indiana) | Primary |
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