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NPI Verification

National Provider Identifier: 1477820017

A Klas Association

Organization

Primary Specialty

Family Medicine, Adult Medicine

Code: 207QA0505X

Practice Address

1829 BRASSICA LN

BLGD. A

INDIANAPOLIS, IN 462177095

Phone: 317-698-6883

NPI Enumeration Date

November 28, 2011

NPI Number

1477820017

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry