Organization
TERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC
Active
Other names
Greencastle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TRUPTI A BHUPTANI MD (CO OWNER MD)
(812) 234-6053
Entity
Organization
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(812) 234-6053
(812) 234-1722
Mailing address
4525 S SPRINGHILL JCT, TERRE HAUTE, IN 47802-4563
(812) 234-6053
(812) 234-1722
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01038772A
IN
207RP1001X
Pulmonary Disease Physician
01052847A
IN
363LF0000X
Family Nurse Practitioner
71001110A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200391150I
—
IN
Enumeration date
12/12/2006
Last updated
09/29/2016
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