# DR. CAROL C BORDEN

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

## Provider details

- **NPI number:** 1689679896
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 01048296 | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | 01048296 | IN | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 11/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000042426 | BC/BS FACETS | IN |
| 01 | — | 160039585 | MEDICARE RAILROAD | IN |
| 05 | — | 200161330A | — | IN |