Healthcare Provider Details

I. General information

NPI: 1194641514
Provider Name (Legal Business Name): INDIANA MATH AND SCIENCE ACADEMY - CENTRAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2447 W 14TH ST
INDIANAPOLIS IN
46222-3142
US

IV. Provider business mailing address

2447 W 14TH ST
INDIANAPOLIS IN
46222-3142
US

V. Phone/Fax

Practice location:
  • Phone: 317-790-7244
  • Fax:
Mailing address:
  • Phone: 317-790-7244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. HALIL DULGEROGLU
Title or Position: TREASURER
Credential:
Phone: 317-748-5092