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Organization

TERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC

Active
Other names
Dugger Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
TRUPTI A BHUPTANI MD (CO OWNER MD)
(812) 234-6053
Entity
Organization

Contact information

Practice address
1005 S 3RD ST, DUGGER, IN 47848-5011
(812) 648-2231
(812) 648-2968
Mailing address
4525 S SPRINGHILL JCT, TERRE HAUTE, IN 47802-4563
(812) 234-6053
(812) 234-1722

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01045492A
IN
207R00000X
Internal Medicine Physician
01052847A
IN
207R00000X
Internal Medicine Physician
01055950A
IN
207RP1001X
Pulmonary Disease Physician
01052847A
IN
208D00000X
General Practice Physician
01045492A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
182180D
DESHPANDE MEDICARE #
IN
01
182180F
PUROHIT MCR #
IN
05
200111590
PUROHIT MEDICAID #
IN
05
200314660
AJAY DESHPANDE MEDICAID #
IN
05
200386870
SHREELEKHA MEDICAID #
IN
05
200391150D
MEDICAID # DUGGER
IN
Enumeration date
08/25/2006
Last updated
09/29/2016
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