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ESKENAZI MEDICAL GROUP INC

Physicians Internal Medicine

Provider NPI: 1730451063

Organization Information:
Organization Name:  ESKENAZI MEDICAL GROUP INC
Organization is not Subpart
Authorized Official:  NANCY A BUXSER  COO  317-880-5101

Practice Location:
720 ESKENAZI AVE  INDIANAPOLIS, IN 46202-5166 US
Tel: 317-880-0000  Fax: --

Business Mailing Address:
720 ESKENAZI AVE FIFTH THIRD BANK BUILDING, 5TH FLOOR INDIANAPOLIS, IN 46202-5166 US
Tel: 317-880-3818  Fax: --

NPI Information:
NPI: 1730451063
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XPhysicians
Internal Medicine
N207RG0300XPhysicians
Internal Medicine
N207QG0300XPhysicians
Family Medicine
N207QH0002XPhysicians
Family Medicine
N207RH0002XPhysicians
Internal Medicine
N208000000XPhysicians
Pediatrics
N208M00000XPhysicians
Hospitalist
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N364S00000XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
N207QA0505XPhysicians
Family Medicine
Y208D00000XPhysicians
General Practice

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208D00000X

Type:

Classification:



Definition:



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