Provider Demographics
NPI:1205133360
Name:ASSOCIATED PHYSICIANS OF INDIANA LLC
Entity type:Organization
Organization Name:ASSOCIATED PHYSICIANS OF INDIANA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:P O BOX NO 2302
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802
Mailing Address - Country:US
Mailing Address - Phone:812-972-7761
Mailing Address - Fax:
Practice Address - Street 1:3051 S US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-3791
Practice Address - Country:US
Practice Address - Phone:812-972-7761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01065877A261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine