Diabetes Internal Medicine And Endocrinology | |
8205 E 56th Street Suite 100 Indianapolis IN 46216-1056 | |
(317) 621-4044 | |
(317) 621-4050 |
Full Name | Diabetes Internal Medicine And Endocrinology |
---|---|
Speciality | Internal Medicine |
Location | 8205 E 56th Street, Indianapolis, Indiana |
Authorized Official Name and Position | Jeffery Kirkham (CFO) |
Authorized Official Contact | 3173555822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diabetes Internal Medicine And Endocrinology 8205 E 56th Street Suite 100 Indianapolis IN 46216-1056 Ph: (317) 621-4044 | Diabetes Internal Medicine And Endocrinology 8205 E 56th Street Suite 100 Indianapolis IN 46216-1056 Ph: (317) 621-4044 |
NPI Number | 1407809106 |
---|---|
Provider Enumeration Date | 05/17/2006 |
Last Update Date | 10/28/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407809106 | NPI | - | NPPES |
200406960H | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
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