Organization
UNIVERSITY FAMILY PHYSICIANS INC
Active
Organization
UNIVERSITY FAMILY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS MCKEAG MD (CHAIR)
(317) 962-5447
Entity
Organization
Contact information
Practice address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(317) 962-5447
(317) 962-5479
Mailing address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(317) 962-5447
(317) 962-5479
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
01051762
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11012117A
LICENSE
IN
01
—
11012290A
LICENSE
IN
01
—
11012403A
LICENSE
IN
01
—
11012633A
LICENSE
IN
01
—
11012672A
LICENSE
IN
01
—
11012684A
LICENSE
IN
01
—
11012852A
LICENSE
IN
01
—
11012931A
LICENSE
IN
01
—
11012933A
LICENSE
IN
01
—
11012967A
LICENSE
IN
01
—
11013096A
LICENSE
IN
01
—
11013099A
LICENSE
IN
01
—
11013101A
LICENSE
IN
01
—
11013143A
LICENSE
IN
01
—
11013212A
LICENSE
IN
01
—
11013214A
LICENSE
IN
01
—
11013402A
LICENSE
IN
01
—
11013486A
LICENSE
IN
01
—
11013607A
LICENSE
IN
01
—
11013625A
LICENSE
IN
01
—
11013683A
LICENSE
IN
01
—
11013691A
LICENSE
IN
01
—
11013692A
LICENSE
IN
01
—
11013888A
LICENSE
IN
01
—
11013933A
LICENSE
IN
01
—
11013962A
LICENSE
IN
01
—
11013968A
LICENSE
IN
01
—
11013987A
LICENSE
IN
01
—
11014014A
LICENSE
IN
01
—
11014152A
LICENSE
IN
01
—
11014175A
LICAENSE
IN
01
—
11014184A
LICENSE
IN
01
—
11014189A
LICENSE
IN
01
—
11014206A
LICENSE
IN
01
—
11014207A
LICENSE
IN
01
—
11014209A
LICENSE
IN
01
—
1103611A
LICENSE
IN
Enumeration date
05/22/2008
Last updated
05/22/2008
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