Organization
SWDC MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN K BURLA MD (OWNER)
(312) 622-8161
Entity
Organization
Contact information
Practice address
2014 CHADWICK DR, NEWBURGH, IN 47630-7517
(812) 491-1390
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 492-6498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300061277
—
IN
Enumeration date
03/29/2018
Last updated
11/15/2024
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