| Surya K Nallari Md | |
|
404 10th St Sw Demotte IN 46310-9298 | |
| (219) 987-6010 | |
| Not Available |
| Full Name | Surya K Nallari Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 404 10th St Sw, Demotte, Indiana |
| Authorized Official Name and Position | Surya K Nallari (PRESIDENT) |
| Authorized Official Contact | 2199876010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surya K Nallari Md 404 10th St Sw Demotte IN 46310-9298 Ph: (219) 987-6010 | Surya K Nallari Md 404 10th St Sw Demotte IN 46310-9298 Ph: (219) 987-6010 |
| NPI Number | 1760792881 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760792881 | NPI | - | NPPES |
| 201009800A | Medicaid | IN | |
| 201009800B | Medicaid | IN | |
| 000000209586 | Other | IN | ANTHEM |
| 201009800C | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01037891A (Indiana) | Primary |
Calvary Assembly Of God Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 15th St. Se, Demotte, IN 46310 Phone: 219-987-4280 | |
Vitae Health Medical Indiana Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10352 N 600 E, Demotte, IN 46310 Phone: 219-345-5211 | |
Demotte Physicians Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 8th Ave Ne, Demotte, IN 46310 Phone: 219-987-3581 Fax: 219-987-7137 | |
Leestma Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 519 N Halleck St, Demotte, IN 46310 Phone: 219-987-7750 Fax: 219-987-5750 |