| NPI | 1669692513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEGUN M RASAKI Physician 317-926-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 01061519A) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |