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Contact Information

INDIANA HEART ASSOCIATES PC
8075 N SHADELAND AVE
SUITE 200/140
INDIANAPOLIS, IN46250-2693
 Phone: 317-621-8500
 Fax: 317-621-8501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INDIANA HEART ASSOCIATES PC

NPI Number 1164473369
LBN Legal business name INDIANA HEART ASSOCIATES PC
Authorized official RAMARAO YELETI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2006
Last updated 06/23/2008 - About 18 years ago
Identifiers
IN License # 50003647A
IN Medicaid 200201000A-I
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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