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Organization

INDIANA CARDIAC & VASCULAR CONSULTANTS

Active
Other names
Central Indiana Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
HABIB JOHN KOMARI M.D. (OWNER)
(812) 988-8116
Entity
Organization

Contact information

Practice address
50 WILLOW ST, SUITE C, NASHVILLE, IN 47448-7031
(812) 988-8116
(812) 988-8132
Mailing address
50 WILLOW ST STE C, PO BOX 215, NASHVILLE, IN 47448-7013
(812) 988-8116
(812) 988-8132

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01040158A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CN5946
RR MEDICARE
IN
Enumeration date
07/19/2006
Last updated
04/02/2008
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