| Diamond Medical Services LLC | |
|
6865 Parkdale Pl Ste A Indianapolis IN 46254-5655 | |
| (317) 291-1211 | |
| (317) 291-1194 |
| Full Name | Diamond Medical Services LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6865 Parkdale Pl Ste A, Indianapolis, Indiana |
| Authorized Official Name and Position | Carla Dionne Willis (OFFICE MANAGER) |
| Authorized Official Contact | 3172911211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Medical Services LLC 6865 Parkdale Pl Ste A Indianapolis IN 46254-5655 Ph: (317) 291-1211 | Diamond Medical Services LLC 6865 Parkdale Pl Ste A Indianapolis IN 46254-5655 Ph: (317) 291-1211 |
| NPI Number | 1376735951 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 04/17/2008 |
| Medicare PECOS PAC ID | 3476575507 |
|---|---|
| Medicare Enrollment ID | O20060103000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376735951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01060259A (Indiana) | Primary |
| Provider Name | Eromonsele O Idahosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588659924 PECOS PAC ID: 0749202877 Enrollment ID: I20060104000262 |
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