Organization
BEECH GROVE URGENT CARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOUMAN KIANI M.D (DIRECTOR)
(317) 786-1888
Entity
Organization
Contact information
Practice address
4902 E THOMPSON RD, INDIANAPOLIS, IN 46237-1905
(317) 786-1888
(317) 786-1889
Mailing address
4902 E THOMPSON RD, INDIANAPOLIS, IN 46237-1905
(317) 786-1888
(317) 786-1889
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
01042881
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200332730A
—
IN
Enumeration date
03/06/2007
Last updated
01/31/2011
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