# OBSTETRICS & GYNECOLOGY OF INDIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Obstetrics & Gynecology of Indiana, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942290143
- **Authorized official:** MR. RICHARD W. GATES II M.D. (MANAGER)
- **Authorized official phone:** (317) 415-1000

## Contact information

- **Practice address:** 11595 N MERIDIAN ST, SUITE 375, CARMEL, IN 46032-6947
- **Practice address phone:** (317) 575-7304
- **Practice address fax:** (317) 575-7333
- **Mailing address:** 1373 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
- **Mailing address phone:** (317) 575-7304
- **Mailing address fax:** (317) 575-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 50003837A | IN | Yes |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 02/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100218870 | — | IN |