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Organization

INDIANA INTERNAL MEDICINE CONSULTANTS, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN M SAMUELS MD (EXECUTIVE BOARD SECRETARY)
(317) 885-2860
Entity
Organization

Contact information

Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE ROAD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50000962A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
50000962A
IN
207R00000X
Internal Medicine Physician
Primary
50000962A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
50000962A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
50000962A
IN
207RI0200X
Infectious Disease Physician
50000962A
IN
207RP1001X
Pulmonary Disease Physician
50000962A
IN
207RR0500X
Rheumatology Physician
50000962A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
50000962A
IN
207V00000X
Obstetrics & Gynecology Physician
50000962A
IN
208000000X
Pediatrics Physician
50000962A
208M00000X
Hospitalist Physician
50000962A
IN
363LA2100X
Acute Care Nurse Practitioner
50000962A
IN
363LA2200X
Adult Health Nurse Practitioner
50000962A
IN
363LF0000X
Family Nurse Practitioner
50000962A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100058190
IN
Enumeration date
05/03/2006
Last updated
09/14/2022
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