| Virag | |
|
1001 W Main St Carmel IN 46032-1433 | |
| (317) 688-7050 | |
| (317) 575-1094 |
| Full Name | Virag |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 W Main St, Carmel, Indiana |
| Authorized Official Name and Position | Saumiin Calcuttawala (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3176887050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virag 1001 W Main St Carmel IN 46032-1433 Ph: (317) 688-7050 | Virag 1001 W Main St Carmel IN 46032-1433 Ph: (317) 688-7050 |
| NPI Number | 1356005243 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Medicare PECOS PAC ID | 2668715764 |
|---|---|
| Medicare Enrollment ID | O20220224002494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356005243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pavel Conovalciuc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720017080 PECOS PAC ID: 4587673504 Enrollment ID: I20210928002884 |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20211104000196 |
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