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MIDWEST WELLNESS LLC NPI 1306222757


NPI Information

NPI: 1306222757
Provider Name: MIDWEST WELLNESS LLC

Doing Business As: MD MEDICAL WEIGHTLOSS AND WELLNESS CENTERS

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
6822 E 82ND ST STE 310
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 548-4666
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MIDWEST WELLNESS LLC is a medical specialty clinic center in Indianapolis, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MIDWEST WELLNESS LLC NPI is 1306222757. The provider is registered as an organization entity type.
The provider Is Doing Business As Md Medical Weightloss And Wellness Centers.

The provider's business location address is:

6822 E 82ND ST STE 310
INDIANAPOLIS, IN
ZIP 46250-677
Phone: (317) 548-4666
Fax: (317) 350-0059

The provider's authorized official is Srinivasu Kesa .
The authorized official title is Owner and has the following contact phone number (317) 850-7725.

The enumeration date for this NPI number is 8/8/2015 and was last updated on 8/8/2015.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1898190C2MEDICARE PININDIANA
2H70690MEDICARE UPININDIANA
3200389120MEDICAIDINDIANA

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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