Organization
DIRECTCLINIC LLC
Active
Parent organization
DIRECTCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIRECTCARE LLC
Authorized official
MR. SUDHAKAR KRISHNAN (PRESIDENT & CEO)
(260) 212-1900
Entity
Organization
Contact information
Practice address
7802 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4138
(260) 466-5671
Mailing address
6435 W JEFFERSON BLVD, SUITE 176, FORT WAYNE, IN 46804-6203
(260) 212-1900
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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