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NPI Code Detail

MEDICARE: INDIANA HEART PHYSICIANS, INC.

MEDICARE: INDIANA HEART PHYSICIANS, INC.
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 Physician

General Provider Information

NPI Number : 1821069295
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIANA HEART PHYSICIANS, INC.
Provider Business Mailing Address
First Line : PO BOX 710
Second Line :
City : BEECH GROVE
State : IN
Zip : 46107-0710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5330 E STOP 11 RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-6345
Country : US
Telephone Number : 317-893-1900
Fax Number : 317-893-1901
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MARY CONWAY BENJAMIN
Credential :
Telephone Number : 317-893-1900
Provider Enumeration Date : 02/01/2006
Last Update Date : 03/03/2008

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Directions to “INDIANA HEART PHYSICIANS, INC. ” Practice Location

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