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NPI Code Detail

MEDICARE: INDIANA HEART ASSOCIATES PC

MEDICARE: INDIANA HEART ASSOCIATES PC
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
1207RC0000XCardiovascular Disease Physician50003647AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669425039
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIANA HEART ASSOCIATES PC
Provider Business Mailing Address
First Line : 920 N SHADELAND AVE
Second Line : SUITE G1
City : INDIANAPOLIS
State : IN
Zip : 46219-4898
Country : US
Telephone Number : 317-355-9783
Fax Number : 317-355-9760
Provider Business Practice Location Address
First Line : 3660 GUION RD
Second Line : SUITE 210
City : INDIANAPOLIS
State : IN
Zip : 46222-1697
Country : US
Telephone Number : 317-920-7456
Fax Number : 317-920-7437
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAMARAO YELETI
Credential : MD
Telephone Number : 317-621-8666
Provider Enumeration Date : 05/18/2006
Last Update Date : 06/23/2008

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Directions to “INDIANA HEART ASSOCIATES PC ” Practice Location

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