| Midwest Wellness Llc | |
|
6822 E 82nd St Suite 310 Indianapolis IN 46250-1676 | |
| (317) 548-4666 | |
| Not Available |
| Full Name | Midwest Wellness Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6822 E 82nd St, Indianapolis, Indiana |
| Authorized Official Name and Position | Srinivasu Kesa (PRESIDENT) |
| Authorized Official Contact | 3175484666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Wellness Llc 6822 E 82nd St Suite 310 Indianapolis IN 46250-1676 Ph: (317) 548-4666 | Midwest Wellness Llc 6822 E 82nd St Suite 310 Indianapolis IN 46250-1676 Ph: (317) 548-4666 |
| NPI Number | 1497108468 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497108468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (Indiana) | Primary |
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