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INDIANA CENTER FOR HEALTH AND NUTRITION NPI 1881875540


NPI Information

NPI: 1881875540
Provider Name: INDIANA CENTER FOR HEALTH AND NUTRITION
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
7440 N SHADELAND AVE
SUITE 206
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 577-5590
Get Directions

INDIANA CENTER FOR HEALTH AND NUTRITION 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). INDIANA CENTER FOR HEALTH AND NUTRITION NPI is 1881875540. The provider is registered as an organization entity type.

The provider's business location address is:

7440 N SHADELAND AVE
SUITE 206
INDIANAPOLIS, IN
ZIP 46250-029
Phone: (317) 577-5590

The provider's authorized official is Rashid Khairi .
The authorized official title is Owner and has the following contact phone number (317) 577-5590.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 1/8/2008.


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 Specialty01025488AINDIANAYes

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
1E05251MEDICARE UPININDIANA
2261210AMEDICARE PIN

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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