# JOHN E DRAKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265431589
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 02001845A | IN | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 01/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000511990 | ANTHEM PROVIDER ID\# - WHC | IN |
| 01 | — | 000000595615 | ANTHEM | IN |
| 05 | — | 200129910 | — | IN |
| 05 | — | 200493620 | — | IN |
| 01 | — | 3013250 | OH MEDICAID | IN |
| 01 | — | P00690557 | RAILROAD MEDICARE | IN |