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MIDWEST WELLNESS LLC NPI 1497108468


NPI Information

NPI: 1497108468
Provider Name: MIDWEST WELLNESS LLC

Doing Business As: MD MEDICAL WEIGHT LOSS AND WELLNESS CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 15D2097455

Address:
6822 E 82ND ST
SUITE 310
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 548-4666
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MIDWEST WELLNESS LLC is an internal medicine in Indianapolis, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MIDWEST WELLNESS LLC NPI is 1497108468. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Md Medical Weight Loss And Wellness Center.

The provider's business location address is:

6822 E 82ND ST
SUITE 310
INDIANAPOLIS, IN
ZIP 46250-676
Phone: (317) 548-4666

The provider's authorized official is Srinivasu Kesa .
The authorized official title is President and has the following contact phone number (317) 548-4666.

The CLIA number assigned to this NPI record is 15D2097455 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2016 and was last updated on 7/14/2016.


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
1207RB0002XInternal MedicineObesity MedicineNo
2207R00000XInternal MedicineINDIANAYes

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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