OrganizationActive
Primary Care Plus, LLC
NPI 1245465129 · Geriatric Medicine (Internal Medicine) Physician · Lebanon, TN
Provider details
- NPI number
- 1245465129
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Venkatesh Madhav, Physician/Owner(615) 443-1579
- License
- L2436 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1405 W Baddour Pkwy
Suite 103
Lebanon, TN 37087-2567
Phone: (615) 443-1579
Fax: (615) 443-1580
Approximate (ZIP-level) locationGet directions
Mailing address
10211 Auburn Park Dr
Fort Wayne, IN 46825-2387
Registry dates
- Enumerated
- 2009-05-21
- Last updated
- 2009-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.