| Terre Haute Pulmonary & Pediatric Clinic, Llc | |
|
557 W Broadway St Shelburn IN 47879-1232 | |
| (812) 397-2440 | |
| (812) 397-0164 |
| Full Name | Terre Haute Pulmonary & Pediatric Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 557 W Broadway St, Shelburn, Indiana |
| Authorized Official Name and Position | Trupti A Bhuptani (CO OWNER MD) |
| Authorized Official Contact | 8122346053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terre Haute Pulmonary & Pediatric Clinic, Llc 4525 S Springhill Jct Terre Haute IN 47802-4563 Ph: (812) 234-6053 | Terre Haute Pulmonary & Pediatric Clinic, Llc 557 W Broadway St Shelburn IN 47879-1232 Ph: (812) 397-2440 |
| NPI Number | 1912011537 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912011537 | NPI | - | NPPES |
| 200391150E | Medicaid | IN |
Sullivan County Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 557 W Broadway St, Shelburn, IN 47879 Phone: 812-397-2440 Fax: 812-397-0164 |