HomeNPI Verification

NPI Verification

National Provider Identifier: 1124301106

Charles Malcolm Clark, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

2802 LAFAYETTE ROAD SUITE 13

EAGLEDALE HEALTH CENTER

INDIANAPOLIS, IN 462222112

Phone: 317-923-7510

NPI Enumeration Date

September 26, 2011

NPI Number

1124301106

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry