PROFESSIONAL ASSOCIATES PC
Allergy and Immunology
Indianapolis, Indiana
Provider NPI: 1316964802
Organization Information:Organization Name: PROFESSIONAL ASSOCIATES PC
Practice Location:
3266 N MERIDIAN ST SUITE 501 INDIANAPOLIS, IN 46208 US
Tel: 317-924-8315 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3266 N MERIDIAN ST SUITE 501 INDIANAPOLIS, IN 46208 US
Tel: 317-924-8315 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 207K00000X | Physicians Allergy & Immunology | ||
| X | 207RP1001X | Physicians Internal Medicine |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RAIL ROAD MEDICARE NUMBER | C10473 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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