HomeNPI Verification

NPI Verification

National Provider Identifier: 1801399100

Extended Care Medical Doctors

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (4)

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

10475 CROSSPOINT BLVD STE 250

INDIANAPOLIS, IN 462563387

NPI Enumeration Date

March 13, 2018

NPI Number

1801399100

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