Organization
MIDWEST MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIDEVI A VEDANTAM M.D. (MEMBER)
(765) 962-0414
Entity
Organization
Contact information
Practice address
1911 CHESTER BLVD, RICHMOND, IN 47374-1212
(765) 962-0414
(765) 962-1007
Mailing address
1911 CHESTER BLVD, RICHMOND, IN 47374-1212
(765) 962-0414
(765) 962-1007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01047370A
IN
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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