# HPW CENTER FOR DIABETES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043680515
- **Authorized official:** DR. ISAIAH PITTMAN IV MD, PHD (OWNER)
- **Authorized official phone:** (812) 235-8496

## Contact information

- **Practice address:** 3560 S 4TH ST, TERRE HAUTE, IN 47802-5540
- **Practice address phone:** (812) 235-8496
- **Practice address fax:** (812) 478-1540
- **Mailing address:** 3560 S 4TH ST, TERRE HAUTE, IN 47802-5540
- **Mailing address phone:** (812) 235-8496
- **Mailing address fax:** (812) 478-1540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 01058414 | IN | Yes |

## Other

- **Enumeration date:** 09/28/2015
- **Last updated:** 08/25/2023