Organization
MIDWEST WELLNESS LLC
Active
Organization
MIDWEST WELLNESS LLC
Active
Other names
MD Medical Weight loss and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVASU KESA MD (PRESIDENT)
(317) 548-4666
Entity
Organization
Contact information
Practice address
6822 E 82ND ST, SUITE 310, INDIANAPOLIS, IN 46250-1676
(317) 548-4666
Mailing address
6822 E 82ND ST, SUITE 310, INDIANAPOLIS, IN 46250-1676
(317) 548-4666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IN
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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