| My Mobile MD Rounding Providers Inc | |
|
429 E Vermont St Ste 110 Indianapolis IN 46202-3685 | |
| (317) 559-0950 | |
| (317) 936-3028 |
| Full Name | My Mobile MD Rounding Providers Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 429 E Vermont St Ste 110, Indianapolis, Indiana |
| Authorized Official Name and Position | Steve Martin (CEO) |
| Authorized Official Contact | 3176706635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Mobile MD Rounding Providers Inc Po Box 586 Galloway OH 43119-0586 Ph: (765) 969-7841 | My Mobile MD Rounding Providers Inc 429 E Vermont St Ste 110 Indianapolis IN 46202-3685 Ph: (317) 559-0950 |
| NPI Number | 1306467048 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 05/05/2020 |
| Certification Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306467048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | () | Secondary |
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