Organization
FISHERS CLINIC AND MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDEEP KAPOOR NP (CEO)
(646) 724-9694
Entity
Organization
Contact information
Practice address
13578 E 131ST ST STE 101, FISHERS, IN 46037-6401
(317) 800-7981
Mailing address
PO BOX 586, GALLOWAY, OH 43119-0586
(765) 969-7841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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