Altus Direct, LLC

NPI #1750829230 in Greenwood, Indiana

Provider Information

NPI Number: 1750829230
Entity Type: Organization
Organization Name: Altus Direct, LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 6, 2017
Last Updated: Oct 9, 2023

Practice Location

Address: 701 E COUNTY LINE RD
Address 2: SUITE 210
City: Greenwood
State: Indiana
ZIP Code: 46143-1072
Phone: (317) 300-7424

Authorized Official

Name: PRAVEEN RAJANAHALLI, MD
Title: TIN OWNER
Phone: (317) 300-7424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Family Medicine	207Q00000X	Primary

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