Organization
MEDICAL CONSULTANTS OF CENTRAL INDIANA LLC
Active
Other names
INDYVITAL
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTOVAO F VIEIRA MD (OWNER)
(317) 680-3250
Entity
Organization
Contact information
Practice address
5252 E 82ND ST STE 300, INDIANAPOLIS, IN 46250-5704
(317) 680-3250
(317) 588-2647
Mailing address
5252 E 82ND ST STE 300, INDIANAPOLIS, IN 46250-5704
(317) 680-3250
(317) 588-2647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200992290
—
IN
Enumeration date
08/18/2019
Last updated
08/18/2019
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