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NPI Code Detail

MEDICARE: TERRI LITTY MD

MEDICARE: TERRI LITTY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01051020AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114985462
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI LITTY MD
Provider Business Mailing Address
First Line : PO BOX 78158
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-0158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 MARTIN LUTHER KING JR ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-5019
Country : US
Telephone Number : 317-931-4300
Fax Number : 317-931-4330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 01/11/2008

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Directions to “ TERRI LITTY MD” Practice Location

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