Sullivan County Internal Medicine LLC

NPI #1871058529 in Shelburn, Indiana

Provider Information

NPI Number: 1871058529
Entity Type: Organization
Organization Name: Sullivan County Internal Medicine LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 7, 2019
Last Updated: Sep 14, 2023

Practice Location

Address: 557 W BROADWAY ST
City: Shelburn
State: Indiana
ZIP Code: 47879-1232
Phone: (812) 397-2440

Authorized Official

Name: DR. DIVYESH PUROHIT, M.D.
Title: M.D.
Phone: (812) 249-9904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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