Organization
SULLIVAN COUNTY INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVYESH PUROHIT M.D. (M.D.)
(812) 249-9904
Entity
Organization
Contact information
Practice address
557 W BROADWAY ST, SHELBURN, IN 47879-1232
(812) 397-2440
(812) 397-0164
Mailing address
3991 GOLF BAG LN, TERRE HAUTE, IN 47802-8145
(812) 249-9904
(812) 316-5151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
09/14/2023
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