| NPI | 1467813204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYSA ALI RIDHA Medical Director 317-663-9518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01070571A) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2024-01-12 |