Unknown Individual – Internal Medicine Physician, NPI 1669440418
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Carson City Post Office, 1111, South Roop Street, Nevada Department of Transportation, Carson City, Nevada, 89701, United States
CARSON CITY, NV 897023299
Phone: (317) 782-1577
Fax: (317) 780-5538
Type: Mailing
South Emerson Avenue, Bosart-Brown, Near Eastside, Indianapolis, Marion, Indiana, 46203, United States
BLDG C STE 100
INDIANAPOLIS, IN 46203
Phone: (317) 782-1577
Fax: (317) 780-5538
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89702)
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