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INDYSTATHEALTHEDU LLC NPI 1336751312


NPI Information

NPI: 1336751312
Provider Name: INDYSTATHEALTHEDU, LLC

Doing Business As: INDYSTATHEALTH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN
ZIP 46240
Phone: (317) 260-9333
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INDYSTATHEALTHEDU, LLC is a family medicine in Indianapolis, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INDYSTATHEALTHEDU, LLC NPI is 1336751312. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Indystathealth.

The provider's business location address is:

9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN
ZIP 46240-817
Phone: (317) 260-9333

The provider's authorized official is Jerusha Keturah Seung .
The authorized official title is Medical Director And Director Of Ed and has the following contact phone number (317) 260-9333.

The enumeration date for this NPI number is 8/20/2020 and was last updated on 4/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207QG0300XFamily MedicineGeriatric MedicineNo
3207QH0002XFamily MedicineHospice and Palliative MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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