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Organization

INDIANA PEDIATRIC ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERIF ELMASRY MD (OWNER)
(765) 475-0024
Entity
Organization

Contact information

Practice address
655 N BROADWAY, PERU, IN 46970
(765) 475-0024
(765) 475-0736
Mailing address
655 N BROADWAY, PERU, IN 46970
(765) 475-0024
(765) 475-0736

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
11/07/2006
Last updated
08/22/2020
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