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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