institution
Illiana Internal Medicine, L.l.c.
Primary Care Clinic/Center in Terre Haute, Indiana
NPI 1003962549

Illiana Internal Medicine, L.l.c. is a Primary Care Clinic/Center based in Terre Haute, IN and is specialized in Primary Care. Illiana Internal Medicine, L.l.c. practices in Terre Haute, IN. The NPI Number for Illiana Internal Medicine, L.l.c. is 1003962549 and holds a License No. 0104962A (Indiana).

The current practice location address for Illiana Internal Medicine, L.l.c. is 1332 N 7Th St, Terre Haute, IN and can be reached out via phone at 812-478-8888 and via fax at 812-478-1114. You can also correspond with Illiana Internal Medicine, L.l.c. through the mailing address at 1332 N 7TH ST, TERRE HAUTE, IN - 47807-1004 (mailing address contact number: 812-478-8888).

Location: 1332 N 7Th St, Terre Haute, IN, 47807-1004
institution
Provider Profile Details
NPI Number
1003962549
Provider Name
Illiana Internal Medicine, L.l.c.
Credential
Provider Entity Type
Organization
Address
1332 N 7Th St, Terre Haute, IN, 47807-1004
Phone Number
812-478-8888
Fax Number
812-478-1114
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265521058 01 IN NPI RAVI KODURU,MD
1174612931 01 IN NPI VUPPALA V REDDY MD
1093804874 01 IN NPI DIPEN SHAH MD
1497844278 01 IN NPI KOSHY OOMMEN MD
institution
Provider Business Practice Location Address Details
Address
1332 N 7Th St
City
State
Zip
47807-1004
Phone Number
812-478-8888
Fax Number
812-478-1114
person
Provider Business Mailing Address Details
Address
1332 N 7Th St
City
State
Zip
47807-1004
Phone Number
812-478-8888
Fax Number
812-478-1114
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
0104962A (Indiana)
Definition
Definition to come...
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