Healthcare Provider Details

I. General information

NPI: 1508309295
Provider Name (Legal Business Name): M CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2016
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 SPRING ST STE 200
JEFFERSONVILLE IN
47130-4494
US

IV. Provider business mailing address

443 SPRING ST STE 2
JEFFERSONVILLE IN
47130-4495
US

V. Phone/Fax

Practice location:
  • Phone: 812-288-8360
  • Fax:
Mailing address:
  • Phone: 812-288-8360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MUHAMMAD I. MASROOR
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 812-288-8360