Healthcare Provider Details

I. General information

NPI: 1689110413
Provider Name (Legal Business Name): BE WELL FAMILY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2017
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12430 CLARK ST
CARMEL IN
46032-7645
US

IV. Provider business mailing address

12430 CLARK ST
CARMEL IN
46032-7645
US

V. Phone/Fax

Practice location:
  • Phone: 317-938-4559
  • Fax: 317-343-0336
Mailing address:
  • Phone: 317-938-4559
  • Fax: 317-343-0336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SWATHI RAO
Title or Position: OWNER
Credential: P.A.
Phone: 317-938-4559