| Zenith Healthcare, Llc | |
|
3737 N Meridian St Suite 104 Indianapolis IN 46208-4348 | |
| (317) 584-4004 | |
| (317) 584-4008 |
| Full Name | Zenith Healthcare, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3737 N Meridian St, Indianapolis, Indiana |
| Authorized Official Name and Position | Bertram Anthony Graves (PRESIDENT) |
| Authorized Official Contact | 3175844004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zenith Healthcare, Llc 3737 N Meridian St Suite 104 Indianapolis IN 46208-4348 Ph: (317) 584-4004 | Zenith Healthcare, Llc 3737 N Meridian St Suite 104 Indianapolis IN 46208-4348 Ph: (317) 584-4004 |
| NPI Number | 1831510338 |
|---|---|
| Provider Enumeration Date | 12/31/2013 |
| Last Update Date | 02/13/2015 |
| Medicare PECOS PAC ID | 7618198953 |
|---|---|
| Medicare Enrollment ID | O20141029002474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831510338 | NPI | - | NPPES |
| 201211980 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01039628A (Indiana) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 01039628A (Indiana) | Primary |
| Provider Name | Bertram Anthony Graves |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821186933 PECOS PAC ID: 4587846050 Enrollment ID: I20110305000057 |
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