Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southside Internal Medicine PC

Organization Internal Medicine Physician · NPI 1578602694

Southside Internal Medicine PC is an Internal Medicine Physician in Indianapolis, Indiana. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8778 Madison Ave Ste 100
Indianapolis, IN 46227-7204
Phone: (317) 881-0677
Fax: (317) 881-0690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1578602694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wanda Slater — Office Manager · (317) 881-0677
NPI enumeratedFebruary 5, 2007
Last updated in NPPESOctober 15, 2007
Mailing address8778 Madison Ave, Ste 100, Indianapolis, IN 46227-7204

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