| Tristate Assoc Of Internal Medicine | |
|
827 S Green River Rd Evansville IN 47715-4105 | |
| (812) 491-1307 | |
| (812) 473-7226 |
| Full Name | Tristate Assoc Of Internal Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 827 S Green River Rd, Evansville, Indiana |
| Authorized Official Name and Position | Sudheer Gurram (OWNER) |
| Authorized Official Contact | 8124911307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristate Assoc Of Internal Medicine Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | Tristate Assoc Of Internal Medicine 827 S Green River Rd Evansville IN 47715-4105 Ph: (812) 491-1307 |
| NPI Number | 1851525539 |
|---|---|
| Provider Enumeration Date | 05/08/2009 |
| Last Update Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851525539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 01040825 (Indiana) | Primary |
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