Organization
CLEAN HEALTH MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALARAM PATEL DO (OWNER)
(812) 913-6880
Entity
Organization
Contact information
Practice address
2101 BROADWAY ST, CLARKSVILLE, IN 47129-7800
(812) 913-6880
Mailing address
2101 BROADWAY ST, CLARKSVILLE, IN 47129-7800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/12/2025
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