Individual
HRISTOS KAIMAKLIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(317) 948-6351
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01072513A
IN
208800000X
Urology Physician
051471
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000834365
ANTHEM PTAN
IN
01
—
000001040000
ANTHEM PTAN
IN
05
—
201189840
—
IN
Enumeration date
09/22/2008
Last updated
03/11/2025
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