Mycare Express Clinic Llc

LBN: Mycare Express Clinic Llc
Mycare Express Clinic Llc is an health care organization with primary practice located at 3608 W 80Th Ln , Merrillville IN 46410-5061. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mycare Express Clinic Llc can be contacted via phone (219) 648-2786, or through Damodaran, Atimanaparampil N. via phone (574) 806-4938.

Contact Information

Primary practice address
3608 W 80Th Ln Merrillville IN 46410-5061
Phone: (219) 648-2786
Fax: (183) 391-4153
Website:
Map and Directions
Authorized official contact:
Name: Damodaran, Atimanaparampil N. Doctor of Medicine (MD)
Phone: (574) 806-4938

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1194354530
LBN Legal business name Mycare Express Clinic Llc
DBA Doing business as
Authorized official Damodaran, Atimanaparampil N. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2020
Last updated Jan 18th, 2022 - about 4 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 1194354530 NPPES
Indiana MEDICAID 8941233128

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