Provider Demographics
NPI:1053732008
Name:URGENT CARE PHYSICIANS PC
Entity type:Organization
Organization Name:URGENT CARE PHYSICIANS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HARISHCHANDRA
Authorized Official - Middle Name:G
Authorized Official - Last Name:RATHOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-307-7146
Mailing Address - Street 1:1641 S US HIGHWAY 231
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-9421
Mailing Address - Country:US
Mailing Address - Phone:765-307-7146
Mailing Address - Fax:765-307-7260
Practice Address - Street 1:1641 S US HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-9421
Practice Address - Country:US
Practice Address - Phone:765-307-7146
Practice Address - Fax:765-307-7260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine