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Organization

TERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC

Active
Other names
Washington 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
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(812) 234-6053
(812) 234-1722
Mailing address
4525 S SPRINGHILL JCT, TERRE HAUTE, IN 47802-4563
(812) 234-6053
(812) 234-1722

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200391150P
IN
Enumeration date
01/18/2007
Last updated
09/29/2016
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