| Community Gastroenterology Pc | |
|
1400 N Ritter Ave Ste 210 Indpls IN 46219 | |
| (317) 355-4191 | |
| (317) 355-1131 |
| Full Name | Community Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1400 N Ritter Ave, Indpls, Indiana |
| Authorized Official Name and Position | Janet I Katz (OFFICE MANAGER) |
| Authorized Official Contact | 3173554191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Gastroenterology Pc 1400 N Ritter Ave Ste 210 Indpls IN 46219 Ph: (317) 355-4191 | Community Gastroenterology Pc 1400 N Ritter Ave Ste 210 Indpls IN 46219 Ph: (317) 355-4191 |
| NPI Number | 1033217534 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033217534 | NPI | - | NPPES |
| 000000087872 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 01034292 (Indiana) | Primary |