| Robert Avena, MD | |
|
2200 N Section St, Sullivan, IN 47882-7523 | |
| (812) 268-6292 | |
| Not Available |
| Full Name | Robert Avena |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2200 N Section St, Sullivan, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598772428 | NPI | - | NPPES |
| 110123778 | Other | IN | RAILROAD MEDICARE |
| 1003265760C | Medicaid | IN | |
| 023329800 | Other | IN | FEDERAL BLACK LUNG |
| 10780065 | Other | IN | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01038723 (Indiana) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | 01038723A (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Avena, MD Po Box 385, Sullivan, IN 47882-0385 Ph: (812) 268-6292 | Robert Avena, MD 2200 N Section St, Sullivan, IN 47882-7523 Ph: (812) 268-6292 |
Dr. Shahid Bashir, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2120 N Section St, Sullivan, IN 47882 Phone: 812-268-2556 |