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Contact Information

UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES, INC.
1701 N SENATE BLVD
INDIANAPOLIS, IN46202-1239
 Phone: 317-274-8660
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Pharmacology

208U00000X
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES, INC.

NPI Number 1861441537
LBN Legal business name UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES, INC.
Authorized official THOMAS BETLEY - (ASSOCIATE VICE CHAIR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2006
Last updated 09/13/2023 - About 3 years ago
Identifiers
IN Medicaid 100465190
IN Medicaid 200397870
IN Medicaid 201004730
IN Other 000000076157 ANTHEM
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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