MICHIANA INTERNAL MEDICINE PC NPI 1467571570

NPI Information

NPI: 1467571570
Provider Name: MICHIANA INTERNAL MEDICINE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 15D1072133

Address:
525 W BRISTOL ST
ELKHART, IN
ZIP 46514
Phone: (574) 295-5900
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MICHIANA INTERNAL MEDICINE PC is a primary care clinic center in Elkhart, IN. MICHIANA INTERNAL MEDICINE PC NPI is 1467571570. The provider is registered as an organization entity type.

The provider's business location address is:

525 W BRISTOL ST
ELKHART, IN
ZIP 46514-964
Phone: (574) 295-5900
Fax: (574) 295-5922

The provider's authorized official is Israr Azim Siddiqi .
The authorized official title is President and has the following contact phone number (574) 295-5900.

The CLIA number assigned to this NPI record is 15D1072133 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 1/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	50004928A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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