Organization
UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVI S SIVA MD (PGY6)
(317) 671-3034
Entity
Organization
Contact information
Practice address
430 INDIANA AVE, APT 138, INDIANAPOLIS, IN 46202-3275
(791) 920-0750
Mailing address
430 INDIANA AVENUE, APT 138, INDIANA, IN 46202-3275
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11017474A
IN
286500000X
Military Hospital
11017474A
IN
Other
Enumeration date
09/27/2013
Last updated
06/11/2016
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