Healthcare Provider Details

I. General information

NPI: 1053732008
Provider Name (Legal Business Name): URGENT CARE PHYSICIANS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 10/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1641 S US HIGHWAY 231
CRAWFORDSVILLE IN
47933-9421
US

IV. Provider business mailing address

1641 S US HIGHWAY 231
CRAWFORDSVILLE IN
47933-9421
US

V. Phone/Fax

Practice location:
  • Phone: 765-307-7146
  • Fax: 765-307-7260
Mailing address:
  • Phone: 765-307-7146
  • Fax: 765-307-7260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. HARISHCHANDRA G RATHOD
Title or Position: CEO
Credential: MD
Phone: 765-307-7146