| Suma Kharidi, MD | |
|
1664 W Smith Valley Rd, Greenwood, IN 46142-1550 | |
| (317) 887-7640 | |
| (317) 887-7664 |
| Full Name | Suma Kharidi |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1664 W Smith Valley Rd, Greenwood, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154590149 | NPI | - | NPPES |
| 01066007A | Other | IN | LICENSE |
| P01157051 | Other | IN | RR MEDICARE PTAN |
| M40053845 | Other | IN | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01066007A (Indiana) | Primary |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Suma Kharidi, MD 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805 Ph: () - | Suma Kharidi, MD 1664 W Smith Valley Rd, Greenwood, IN 46142-1550 Ph: (317) 887-7640 |
Dr. Elise Rose Laroche, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 E County Line Rd Ste D, Greenwood, IN 46143 Phone: 317-888-9669 Fax: 317-885-7966 | |
Brittany Y. Simpson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 533 E County Line Rd, Greenwood, IN 46143 Phone: 317-957-9050 | |
Dr. Charles L Richert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 S State Road 135 Ste 220, Greenwood, IN 46143 Phone: 317-621-2290 | |
Dr. Douglas K Bullington, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 S State Road 135, Suite 200, Greenwood, IN 46143 Phone: 317-535-1876 Fax: 317-535-5049 | |
Patricia G Wiseman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 S State Road 135 Ste 200, Greenwood, IN 46143 Phone: 317-535-1876 Fax: 317-535-5049 | |
Philip A. Blaney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1877 Prairie Sky Ln, Greenwood, IN 46143 Phone: 435-668-2481 | |
Shelley R Stiner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 N State Road 135, Ste 103, Greenwood, IN 46142 Phone: 317-550-4510 Fax: 317-886-4550 |