Provider Demographics
NPI:1407153554
Name:ASSOCIATED PHYSICIANS OF INDIANA LLC
Entity Type:Organization
Organization Name:ASSOCIATED PHYSICIANS OF INDIANA LLC
Other - Org Name:EDCARE WALK IN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARISHCHANDRA
Authorized Official - Middle Name:G
Authorized Official - Last Name:RATHOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-972-7761
Mailing Address - Street 1:10000 STIRLING RD STE 7
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8067
Mailing Address - Country:US
Mailing Address - Phone:810-265-2802
Mailing Address - Fax:
Practice Address - Street 1:10000 STIRLING RD STE 7
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8067
Practice Address - Country:US
Practice Address - Phone:810-265-2802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01064877A261QP2300X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care