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6950 Hillsdale Ct Indianapolis IN 46250-2040 | |
| (317) 621-7740 | |
| (317) 621-7608 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6950 Hillsdale Ct, Indianapolis, Indiana |
| Authorized Official Name and Position | Ramarao Yeleti (MD, EVP) |
| Authorized Official Contact | 3176219002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6950 Hillsdale Ct Indianapolis IN 46250-2040 Ph: () - | 6950 Hillsdale Ct Indianapolis IN 46250-2040 Ph: (317) 621-7740 |
| NPI Number | 1265477632 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265477632 | NPI | - | NPPES |
| 100270530A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Indiana) | Primary |
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