Provider Type Icon

TRISTATE ASSOC OF INTERNAL MEDICINE NPI 1851525539


NPI Information

NPI: 1851525539
Provider Name: TRISTATE ASSOC OF INTERNAL MEDICINE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
827 S GREEN RIVER RD
EVANSVILLE, IN
ZIP 47715
Phone: (812) 491-1307
Get Directions

TRISTATE ASSOC OF INTERNAL MEDICINE is a primary care clinic center in Evansville, IN. TRISTATE ASSOC OF INTERNAL MEDICINE NPI is 1851525539. The provider is registered as an organization entity type.

The provider's business location address is:

827 S GREEN RIVER RD
EVANSVILLE, IN
ZIP 47715-105
Phone: (812) 491-1307
Fax: (812) 473-7226

The provider's authorized official is Sudheer Gurram .
The authorized official title is Owner and has the following contact phone number (812) 491-1307.

The enumeration date for this NPI number is 5/8/2009 and was last updated on 7/14/2021.


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
1261QP2300XClinic/CenterPrimary Care01040825INDIANAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.