NPI 1477820017 · live from the CMS NPI Registry
A Klas Association
Family Medicine, Adult Medicine in Indianapolis, IN. National Provider Identifier 1477820017, active.
NPI record
| NPI | 1477820017 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Adult Medicine 207QA0505X |
| Practice location | 1829 Brassica Ln, Blgd. A, Indianapolis, IN 46217 |
| Practice phone | 317-698-6883 |
| Enumerated | November 28, 2011 |
| Last updated | October 18, 2013 |
| Authorized official | Alexander Klaz, Senior Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine primary | 207QA0505X | 01038707A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.