INTEGRATED MEDICAL CARE AND NEPHROLOGY LLC NPI 1679916001

NPI Information

INTEGRATED MEDICAL CARE AND NEPHROLOGY 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). INTEGRATED MEDICAL CARE AND NEPHROLOGY LLC NPI is 1679916001. The provider is registered as an organization entity type.
The provider Is Doing Business As Imcn.

The provider's business location address is:

6925 SHORE TER
INDIANAPOLIS, IN
ZIP 46254-675
Phone: (317) 290-8288
Fax: (317) 290-8801

The provider's authorized official is Bryant King .
The authorized official title is Owner and has the following contact phone number (317) 757-9731.

The enumeration date for this NPI number is 4/16/2013 and was last updated on 11/6/2013.

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:

Other Identifiers

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

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