Organization
GERIATRIC PRIMARY CARE OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BATTIST (CEO)
(850) 377-0925
Entity
Organization
Contact information
Practice address
5354 W 62ND ST APT 176C, INDIANAPOLIS, IN 46268-6436
(850) 377-0925
Mailing address
12120 STATE LINE RD # 296, LEAWOOD, KS 66209-1254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
12/08/2025
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