| NPI | 1801464821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMZI Y SKAIK Medical Director 317-442-6386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |