| NPI | 1336751312 |
|---|---|
| Doing Business As | INDYSTATHEALTH |
| Doing Business As | INDYSTATHEALTH CARE GROUP |
| Entity Type | Organization |
| Authorized Contact | JERUSHA KETURAH SEUNG Medical Director And Director Of Ed 317-260-9333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-04-26 |