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Organization
OBSTETRICS & GYNECOLOGY OF INDIANA, LLC
Active
Organization
OBSTETRICS & GYNECOLOGY OF INDIANA, LLC
Active
Other names
Obstetrics & Gynecology of Indiana, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W. GATES II M.D. (MANAGER)
(317) 415-1000
Entity
Organization
Contact information
Practice address
11595 N MERIDIAN ST, SUITE 375, CARMEL, IN 46032-6947
(317) 575-7304
(317) 575-7333
Mailing address
1373 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(317) 575-7304
(317) 575-7333
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50003837A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218870
—
IN
Enumeration date
10/27/2005
Last updated
02/04/2020
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