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Organization
COMMUNITY PHYSICIANS OF INDIANA INC
Active
Organization
COMMUNITY PHYSICIANS OF INDIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KUNZER MD (EVP)
(317) 355-5961
Entity
Organization
Contact information
Practice address
7240 SHADELAND STATION, SUITE 300, INDIANAPOLIS, IN 46256-3944
(317) 355-5555
Mailing address
7240 SHADELAND STA STE 300, INDIANAPOLIS, IN 46256-3944
(317) 355-5555
(317) 355-8716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000647913
ANTHEM
IN
05
—
200969250A
—
IN
05
—
200969250B
—
IN
05
—
200969250C
—
IN
05
—
200969250D
—
IN
05
—
200969250E
—
IN
05
—
200969250F
—
IN
05
—
200969250G
—
IN
05
—
200969250H
—
IN
05
—
200969250I
—
IN
05
—
200969250J
—
IN
05
—
200969250K
—
IN
05
—
200969250L
—
IN
05
—
200969250M
—
IN
05
—
201006200O
—
IN
05
—
201014430T
—
IN
05
—
201018890G
—
IN
Enumeration date
06/22/2009
Last updated
04/24/2026
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