Organization

Medical Group Of Indiana Llc

Rheumatology Physician in Muncie, IN(View on Map)

Legal Business Name

Medical Group Of Indiana Llc

NPI Number

1306334255

NPI Type

Organization

Enumeration Date

04/26/2018

Specialties

(Taxonomies)

Code

207RR0500X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1107 S TILLOTSON AVE
1107 S TILLOTSON AVE

City

Muncie
Muncie

State

IN
IN

Postal Code

47304-4517
47304-4517

Country

US
US

Telephone Number

(765) 717-5399
(765) 717-5399

Authorized Official

Name

Tarek Kteleh

Title or Position

PRESIDENT

Telephone Number

(765) 717-5399

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/15/2024

Provider Address