Organization
MEDICAL GROUP OF INDIANA LLC D/B/A RHEUMATOLOGY OF CENTRAL INDIANA
Active
Organization
MEDICAL GROUP OF INDIANA LLC D/B/A RHEUMATOLOGY OF CENTRAL INDIANA
Active
Other names
Rheumatology of Central Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK KTELEH (OWNER)
(765) 717-5399
Entity
Organization
Contact information
Practice address
1107 S TILLOTSON AVE, MUNCIE, IN 47304-4517
(765) 717-5399
Mailing address
1107 S TILLOTSON AVE, MUNCIE, IN 47304-4517
(765) 717-5399
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300080657
—
IN
Enumeration date
04/26/2018
Last updated
07/29/2026
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