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MEDICAL GROUP OF INDIANA LLC NPI 1306334255


NPI Information

NPI: 1306334255
Provider Name: MEDICAL GROUP OF INDIANA LLC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 15D2263741

Address:
1107 S TILLOTSON AVE
MUNCIE, IN
ZIP 47304
Phone: (765) 717-5399
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MEDICAL GROUP OF INDIANA LLC is a rheumatology internal medicine in Muncie, IN. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. MEDICAL GROUP OF INDIANA LLC NPI is 1306334255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1107 S TILLOTSON AVE
MUNCIE, IN
ZIP 47304-517
Phone: (765) 717-5399

The provider's authorized official is Tarek Kteleh .
The authorized official title is President and has the following contact phone number (765) 717-5399.

The CLIA number assigned to this NPI record is 15D2263741 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/26/2018 and was last updated on 1/15/2024.


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
1207RR0500XInternal MedicineRheumatologyYes

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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