Provider Demographics
NPI:1558810408
Name:DIGESTIVE HEALTH ASSOCIATES LLC TERRE HAUTE
Entity Type:Organization
Organization Name:DIGESTIVE HEALTH ASSOCIATES LLC TERRE HAUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GASTROENTEROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-814-3417
Mailing Address - Street 1:PO BOX 3276
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47731-3276
Mailing Address - Country:US
Mailing Address - Phone:812-491-1307
Mailing Address - Fax:812-473-5822
Practice Address - Street 1:3903 S 7TH ST STE 2C
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-5710
Practice Address - Country:US
Practice Address - Phone:812-491-1307
Practice Address - Fax:812-645-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01072350A207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty