Organization
INDY INTEGRATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARNJIT S PABLA MD (OWNER)
(260) 579-7683
Entity
Organization
Contact information
Practice address
2680 E MAIN ST, STE 309, PLAINFIELD, IN 46168-2825
(260) 579-7683
Mailing address
2680 E MAIN ST, STE 309, PLAINFIELD, IN 46168-2825
(260) 579-7683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047177A
IN
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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