Organization
EVANSVILLE MULTI-SPECIALTY CLINIC, PC
Active
Parent organization
EVANSVILLE MULTI-SPECIALTY CLINIC, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANSVILLE MULTI-SPECIALTY CLINIC, PC
Authorized official
DR. LOTFI HADAD MEDICAL DOCTOR (OWNER)
(812) 475-1948
Entity
Organization
Contact information
Practice address
6140 E COLUMBIA ST, EVANSVILLE, IN 47715-9133
(812) 475-1948
(812) 401-5777
Mailing address
PO BOX 5646, EVANSVILLE, IN 47716-5646
(812) 475-1948
(812) 401-5777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391682
BLUE CROSS
IN
05
—
200806260A
—
IN
Enumeration date
05/23/2006
Last updated
02/01/2024
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