Palt Med

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01075098A Issued in IN

Legal business name

PALT MED

Practice address

800 N Bell Trace Cir
Bloomington, IN 47408-4405

Phone

(512) 417-3733

NPI assigned

May 8, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Priti V Jindal, MD

Title

Owner

Phone

(812) 260-1394

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653091200000",
    "number": "1750870499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7677",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474077677",
            "telephone_number": "812-260-1394",
            "fax_number": "812-269-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N BELL TRACE CIR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474084405",
            "telephone_number": "512-417-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALT MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A",
        "authorized_official_last_name": "JINDAL",
        "authorized_official_first_name": "PRITI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-260-1394",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01075098A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.