| NPI | 1467693135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDERSON Practice Operations Executive 317-528-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 50000962A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 50000962A) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 50000962A) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 50000962A) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IN 50000962A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 50000962A) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: IN 50000962A) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 50000962A) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 50000962A) | |
| 208000000X Pediatrics (Licence: IN 50000962A) | |
| 208M00000X Hospitalist (Licence: IN 50000962A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 50000962A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 50000962A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 50000962A) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2024-05-09 |