| Interventional Clinics Of America Llc | |
|
8300 Broadway Suite A1 Merrillville IN 46410-8602 | |
| (219) 779-8346 | |
| (925) 380-3168 |
| Full Name | Interventional Clinics Of America Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8300 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Vivek Kumar Agrawal (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4084604502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventional Clinics Of America Llc 8300 Broadway Suite A1 Merrillville IN 46410-8602 Ph: (219) 779-8346 | Interventional Clinics Of America Llc 8300 Broadway Suite A1 Merrillville IN 46410-8602 Ph: (219) 779-8346 |
| NPI Number | 1730447012 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 08/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730447012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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