| NPI | 1821806894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRAL PATEL Cmo 317-525-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2025-01-13 |