Organization
GERIATRIC PRIMARY CARE OF INDIANA LLC
Active
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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