St. Mary Adult Medicine, Llc

LBN: St. Mary Adult Medicine, Llc
St. Mary Adult Medicine, Llc is an health care organization with primary practice located at 5525 Georgetown Rd Ste F , Indianapolis IN 46254-3717. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. St. Mary Adult Medicine, Llc can be contacted via phone (317) 293-9039, or through Hermina, Malak G via phone (317) 293-9039.

Contact Information

Primary practice address
5525 Georgetown Rd Ste F Indianapolis IN 46254-3717
Phone: (317) 293-9039
Fax: (317) 293-9049
Website:
Map and Directions
Authorized official contact:
Name: Hermina, Malak G Doctor of Medicine (MD)
Phone: (317) 293-9039

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1942481965
LBN Legal business name St. Mary Adult Medicine, Llc
DBA Doing business as
Authorized official Hermina, Malak G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated Sep 14th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942481965 NPPES
Indiana MEDICAID 201378550

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