# INDIANA GROUP LLC

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

## Provider details

- **NPI number:** 1689416729
- **Authorized official:** RICKY BHIMANI MD (OWNER)
- **Authorized official phone:** (914) 557-8870

## Contact information

- **Practice address:** 4668 SHELBY CIR, GREENWOOD, IN 46143-7428
- **Practice address phone:** (914) 557-8870
- **Practice address fax:** (914) 963-6019
- **Mailing address:** 32 TIBBETTS RD, YONKERS, NY 10705-4622
- **Mailing address phone:** (914) 557-8870
- **Mailing address fax:** (914) 963-6019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2024
- **Last updated:** 06/10/2024