| Mycare Express Clinic Llc | |
|
3608 W 80th Ln Merrillville IN 46410-5061 | |
| (219) 648-2786 | |
| (183) 391-4153 |
| Full Name | Mycare Express Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3608 W 80th Ln, Merrillville, Indiana |
| Authorized Official Name and Position | Atimanaparampil N. Damodaran (CFO) |
| Authorized Official Contact | 5748064938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mycare Express Clinic Llc 3608 W 80th Ln Merrillville IN 46410-5061 Ph: (219) 648-2786 | Mycare Express Clinic Llc 3608 W 80th Ln Merrillville IN 46410-5061 Ph: (219) 648-2786 |
| NPI Number | 1194354530 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 01/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194354530 | NPI | - | NPPES |
| 8941233128 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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