Individual
CLARE COLETTE PROHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 963-0560
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60478
CO
207RP1001X
Pulmonary Disease Physician
Primary
01082199A
IN
208M00000X
Hospitalist Physician
60478
CO
Other
Enumeration date
03/24/2015
Last updated
03/04/2025
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