Provider Demographics
NPI:1457743684
Name:DOORSTEPMD LLC
Entity Type:Organization
Organization Name:DOORSTEPMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDULATEEF
Authorized Official - Middle Name:O
Authorized Official - Last Name:AREGBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-361-4560
Mailing Address - Street 1:12045 BODLEY PL
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-3714
Mailing Address - Country:US
Mailing Address - Phone:917-892-3252
Mailing Address - Fax:
Practice Address - Street 1:12045 BODLEY PL
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-3714
Practice Address - Country:US
Practice Address - Phone:917-892-3252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty