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NPI Code Detail

MEDICARE: CADIENCE LLC

MEDICARE: CADIENCE LLC
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 PhysicianIN01070968AIN

General Provider Information

NPI Number : 1023505633
Entity Type Code : Organization
Provider Name (Legal Business Name) : CADIENCE LLC
Provider Business Mailing Address
First Line : 1340 BLACKTHORNE TRL N
Second Line :
City : PLAINFIELD
State : IN
Zip : 46168-5603
Country : US
Telephone Number : 901-235-2065
Fax Number :
Provider Business Practice Location Address
First Line : 5602 CAITO DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46226-1346
Country : US
Telephone Number : 901-235-2065
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : MUHAMMAD MALIK
Credential : MD
Telephone Number : 901-235-2065
Provider Enumeration Date : 04/18/2018
Last Update Date : 04/18/2018

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Directions to “CADIENCE LLC ” Practice Location

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