# MIDWEST WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MD Medical Weightloss and Wellness Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306222757
- **Authorized official:** DR. SRINIVASU KESA MD (OWNER)
- **Authorized official phone:** (317) 850-7725

## Contact information

- **Practice address:** 6822 E 82ND ST STE 310, INDIANAPOLIS, IN 46250-1677
- **Practice address phone:** (317) 548-4666
- **Practice address fax:** (317) 350-0059
- **Mailing address:** 6822 E 82ND ST STE 310, INDIANAPOLIS, IN 46250-1677
- **Mailing address phone:** (317) 548-4666
- **Mailing address fax:** (317) 350-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2015
- **Last updated:** 08/08/2015