# CANDACE L EMBRY

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

## Provider details

- **NPI number:** 1659311553
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01033360 | IN | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 12/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0102233 | UNITED HEALTHCARE | IN |
| 01 | — | 080005769 | MEDICARE RAILROAD | IN |
| 05 | — | 100128200A | — | IN |
| 01 | — | 1017630001 | DMERC | — |
| 01 | — | 338888P | SIHO | IN |
| 01 | — | 351920057 | GROUP TAX ID\# | IN |
| 01 | — | 42637 | ANTHEM | IN |