Organization
IVISIT DOC INC
Active
Other names
APKAMD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO OBRIQUE (VICE PRESIDENT OF TECHNOLOGY)
(317) 561-9125
Entity
Organization
Contact information
Practice address
7345 WOODLAND DR STE 1, INDIANAPOLIS, IN 46278-1737
(317) 762-4025
(317) 759-4003
Mailing address
7345 WOODLAND DR STE 1, INDIANAPOLIS, IN 46278-1737
(877) 843-2351
(317) 981-6716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01054614A
INTERNAL MEDICINE LICENSE - IN
IN
Enumeration date
06/14/2021
Last updated
04/18/2022
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