Mycare Express Clinic Llc | |
3608 W 80th Ln Merrillville IN 46410-5061 | |
(219) 648-2786 | |
(183) 391-4153 |
Full Name | Mycare Express Clinic Llc |
---|---|
Speciality | Internal Medicine |
Location | 3608 W 80th Ln, Merrillville, Indiana |
Authorized Official Name and Position | Atimanaparampil N. Damodaran (CFO) |
Authorized Official Contact | 5748064938 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mycare Express Clinic Llc 3608 W 80th Ln Merrillville IN 46410-5061 Ph: (219) 648-2786 | Mycare Express Clinic Llc 3608 W 80th Ln Merrillville IN 46410-5061 Ph: (219) 648-2786 |
NPI Number | 1194354530 |
---|---|
Provider Enumeration Date | 04/07/2020 |
Last Update Date | 01/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194354530 | NPI | - | NPPES |
8941233128 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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