Organization
INDIANA CLINIC - UROLOGY, LLC
Active
Parent organization
INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC.
Authorized official
CAROL KARP (CFO)
(317) 278-3522
Entity
Organization
Contact information
Practice address
1801 N SENATE BLVD, STE 220, INDIANAPOLIS, IN 46202-1228
(317) 962-3700
(317) 962-8800
Mailing address
950 N MERIDIAN ST, STE 500, INDIANAPOLIS, IN 46204-3908
(317) 962-4942
(317) 962-4950
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200984020
—
IN
Enumeration date
12/07/2009
Last updated
09/19/2013
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