Unknown Individual – Plastic Surgery Physician, NPI 1124096433
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6845, Antelope Drive, Huntington Ridge, Lakeside, Indianapolis, Marion County, Indiana, 46278, United States
INDIANAPOLIS, IN 462781891
Phone: (317) 201-0768
Fax: (317) 931-8158
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46278)
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