Individual
LUIS FERNANDO ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 300, INDIANAPOLIS, IN 46260-2052
(317) 338-5288
Mailing address
8402 HARCOURT RD STE 300, INDIANAPOLIS, IN 46260-2052
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01044143A
IN
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
01044143A
IN
208000000X
Pediatrics Physician
01044143A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
01044143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200182960
—
IN
Enumeration date
12/12/2005
Last updated
06/21/2022
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