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MODERN REJUVENATION CENTER LLC NPI 1174105035


NPI Information

NPI: 1174105035
Provider Name: MODERN REJUVENATION CENTER, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
11495 N PENN ST STE 100
CARMEL, IN
ZIP 46032
Phone: (317) 827-6326
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MODERN REJUVENATION CENTER, LLC is a family medicine in Carmel, 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. MODERN REJUVENATION CENTER, LLC NPI is 1174105035. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11495 N PENN ST STE 100
CARMEL, IN
ZIP 46032-200
Phone: (317) 827-6326
Fax: (317) 827-6328

The provider's authorized official is Antonio Senat .
The authorized official title is Owner and has the following contact phone number (317) 827-6326.

The enumeration date for this NPI number is 4/21/2021 and was last updated on 5/19/2021.


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

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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