| NPI | 1366123176 |
|---|---|
| Doing Business As | LTC ACO |
| Entity Type | Organization |
| Authorized Contact | RAMARAO YELETI Md, EVP 317-887-7880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-08-11 |