| Terrehaute Internal Medicine Llc | |
|
420 E Hospital Ln Terre Haute IN 47802-4251 | |
| (812) 238-0958 | |
| (812) 238-0960 |
| Full Name | Terrehaute Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 E Hospital Ln, Terre Haute, Indiana |
| Authorized Official Name and Position | Pardeep Kumar (MANAGING MEMBER) |
| Authorized Official Contact | 8122380958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrehaute Internal Medicine Llc 420 E Hospital Ln Terre Haute IN 47802-4251 Ph: (812) 238-0958 | Terrehaute Internal Medicine Llc 420 E Hospital Ln Terre Haute IN 47802-4251 Ph: (812) 238-0958 |
| NPI Number | 1275645228 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2014 |
| Medicare PECOS PAC ID | 3173584646 |
|---|---|
| Medicare Enrollment ID | O20041019001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275645228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pardeep Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336251354 PECOS PAC ID: 3072574557 Enrollment ID: I20110324000796 |
| Provider Name | Tejaswini Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245343144 PECOS PAC ID: 8426231986 Enrollment ID: I20110324000808 |
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