Mycare Express Clinic LLC
Internal Medicine in Merrillville, IN. Organization (NPI-2).
NPI number1194354530
StatusActive
Last updated in NPPESJan 18, 2022
Details
- NPI
- 1194354530
- Entity type
- Organization (NPI-2)
- Legal business name
- Mycare Express Clinic LLC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2020
- Certification date
- Sep 3, 2021
- Last updated
- Jan 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
3608 W 80th LnMerrillville, IN 46410-5061
Phone 219-648-2786 · Fax 183-391-4153
Mailing address
3608 W 80th LnMerrillville, IN 46410-5061
Phone 219-648-2786 · Fax 219-648-2782
Authorized official
Atimanaparampil N. Damodaran
Cfo
5748064938
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