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Organization
MEDICAL SPECIALTY LLC
Active
Organization
MEDICAL SPECIALTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID ABBASPOUR (CEO)
(317) 842-5771
Entity
Organization
Contact information
Practice address
2301 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5729
(317) 602-5610
(317) 602-5730
Mailing address
7320 E 82ND ST, INDIANAPOLIS, IN 46256-1458
(317) 842-5771
(317) 576-1394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
01034573A
IN
261QU0200X
Urgent Care Clinic/Center
Primary
01034573A
IN
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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