| Promed Preferred in 2, PC | |
|
320 N Meridian St Ste 823 Indianapolis IN 46204-1731 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred in 2, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 N Meridian St Ste 823, Indianapolis, Indiana |
| Authorized Official Name and Position | Lev Grinman (PRESIDENT) |
| Authorized Official Contact | 6154993165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred in 2, PC 329 S Oyster Bay Rd # 2059 Plainview NY 11803-3301 | Promed Preferred in 2, PC 320 N Meridian St Ste 823 Indianapolis IN 46204-1731 Ph: (615) 499-3165 |
| NPI Number | 1700776887 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 09/09/2026 |
| Certification Date | 09/09/2026 |
| Medicare PECOS PAC ID | 5496254443 |
|---|---|
| Medicare Enrollment ID | O20250816000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700776887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Nneka Odinweruka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073409322 PECOS PAC ID: 3476054552 Enrollment ID: I20250829002082 |
| Provider Name | Mariah K Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528936515 PECOS PAC ID: 1052890399 Enrollment ID: I20260207000195 |
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