| NPI | 1063805455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKIA NAZ Owner/Operator 317-850-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IN 01065726A) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |