Organization
IDEAL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHANI MANUNGO NP (OWNER)
(317) 730-3956
Entity
Organization
Contact information
Practice address
3881 EAGLE CREEK PKWY STE A, INDIANAPOLIS, IN 46254-5600
(317) 730-3956
Mailing address
3881 EAGLE CREEK PKWY STE A, INDIANAPOLIS, IN 46254-5600
(317) 969-8332
(317) 969-8494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
03/18/2024
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