Organization · Type 2 NPI
Privia Medical Group Indiana, LLC
Multi-Specialty Clinic/Center · Elkhart, IN
NPI number
1083165708
Active
Practice location
2222 W Lexington Ave, Suite B
Elkhart, IN 46514-1420
Fax (574) 296-3392
Mailing address
303 S Nappanee St
Elkhart, IN 46514-2066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
5 other providers at this address
- Abbott Eye Clinic Inc PCOphthalmology Physician Elkhart, IN NPI 1831268150
- Privia Medical Group Indiana, LLCOphthalmology Physician Elkhart, IN NPI 1013380526
- James E. Gluckin, MDOphthalmology Physician Elkhart, IN NPI 1023198348
- Kenneth W. Abbott, MDOphthalmology Physician Elkhart, IN NPI 1770664138
- Melissa A. Henderson, O.DOptometrist Elkhart, IN NPI 1376982074
Other multi-specialty clinic/center providers in Elkhart
About NPI 1083165708
Privia Medical Group Indiana, LLC's National Provider Identifier is 1083165708, issued on Oct 18, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Elkhart, IN. The record was last updated on May 12, 2025.