Swdc Medical Associates Llc | |
2014 Chadwick Dr Newburgh IN 47630-7517 | |
(812) 491-1390 | |
Not Available |
Full Name | Swdc Medical Associates Llc |
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Speciality | Internal Medicine |
Location | 2014 Chadwick Dr, Newburgh, Indiana |
Authorized Official Name and Position | Kiran K Burla (OWNER) |
Authorized Official Contact | 3126228161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Swdc Medical Associates Llc Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | Swdc Medical Associates Llc 2014 Chadwick Dr Newburgh IN 47630-7517 Ph: (812) 491-1390 |
NPI Number | 1457856510 |
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Provider Enumeration Date | 03/29/2018 |
Last Update Date | 11/15/2024 |
Medicare PECOS PAC ID | 2466716501 |
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Medicare Enrollment ID | O20180426000434 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457856510 | NPI | - | NPPES |
300061277 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Kiran K Burla |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922206127 PECOS PAC ID: 8123283561 Enrollment ID: I20120710000123 |
Provider Name | Leanna K Graber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215544952 PECOS PAC ID: 9931510328 Enrollment ID: I20201116000380 |
Provider Name | Megan C Nonte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861027641 PECOS PAC ID: 7911385539 Enrollment ID: I20220609001324 |
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