Individual
DR. JUAN CARLOS VENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, FAAFP
Contact information
Practice address
907 N EAST ST, INDIANAPOLIS, IN 46202-3425
(317) 676-6498
(317) 932-9404
Mailing address
907 N EAST ST, INDIANAPOLIS, IN 46202-3425
(317) 676-6498
(317) 932-9404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01076457A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004186
—
IN
Enumeration date
06/06/2014
Last updated
07/21/2025
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