Southern Indiana Gastroenterology,llc | |
1401 Professional Blvd Ste 200 Evansville IN 47714-8014 | |
(812) 401-3003 | |
(812) 401-3006 |
Full Name | Southern Indiana Gastroenterology,llc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1401 Professional Blvd, Evansville, Indiana |
Authorized Official Name and Position | Sumalatha Satoor (OWNER) |
Authorized Official Contact | 4042741589 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Indiana Gastroenterology,llc 5609 Winthrop Ct Evansville IN 47715-4284 Ph: (404) 274-1589 | Southern Indiana Gastroenterology,llc 1401 Professional Blvd Ste 200 Evansville IN 47714-8014 Ph: (812) 401-3003 |
NPI Number | 1164866604 |
---|---|
Provider Enumeration Date | 04/27/2013 |
Last Update Date | 04/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164866604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 01071336A (Indiana) | Primary |
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