Organization
TERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC
Active
Organization
TERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC
Active
Other names
Sullivan Clinic 2 Dr Deshpande
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
2229 MARY SHERMAN DR, SULLIVAN, IN 47882-7633
(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
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200391150K
—
IN
Enumeration date
12/12/2006
Last updated
09/29/2016
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