Individual
MATTHEW J HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-5000
(317) 963-5492
Mailing address
720 ESKENAZI AVE BLDG 3, INDIANAPOLIS, IN 46202-5187
(317) 880-3900
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
01093140A
IN
208000000X
Pediatrics Physician
ME161547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103693241
ANTHEM PTAN
IN
05
—
300090103
—
IN
Enumeration date
04/20/2020
Last updated
03/08/2025
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