| NPI | 1609834357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M SAMUELS Executive Board Secretary 317-885-2860 |
| 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) | |
| 207RI0200X Internal Medicine Infectious Disease (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: 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 | 2006-05-03 |
| Last Update Date | 2022-09-14 |