Individual
DR. CARLOS SALAZAR CARCAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
(765) 583-2444
Mailing address
1200 W WHITE RIVER BLVD, ATTN: RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
(765) 282-8991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01081849A
IN
207R00000X
Internal Medicine Physician
Primary
125067972
IL
Other
Enumeration date
07/05/2016
Last updated
06/26/2019
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