GUSTAVO M BENADERET

INDIANAPOLIS, IN
NPI1518923002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01060202A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MD442700)
Enumeration Date2006-04-24
Last Update Date2021-01-28
Business Address
GUSTAVO M BENADERET MD
1800 N CAPITOL AVE NP E-140
INDIANAPOLIS, IN 46202-1218
Phone number: 317-962-2894
Mailing Address
GUSTAVO M BENADERET MD
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: