| NPI | 1588811087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUKAT ALI KHAN Owner 317-731-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 50005032A) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: IN 50005032A) |
| 261Q00000X Clinic/Center (Licence: IN 50005032A) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: IN 50005032A) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2011-08-19 |