Individual
DONALD IAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12188B N MERIDIAN ST STE 350B, CARMEL, IN 46032-4900
(317) 582-1841
Mailing address
12188B N MERIDIAN ST STE 350B, CARMEL, IN 46032-4900
(317) 582-1841
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01051881A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01051881A
IN
208D00000X
General Practice Physician
01051881
IN
208D00000X
General Practice Physician
036110127
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114020567
BCBS-MO
MO
01
—
1194840595
ANTHEM-IN
IN
01
—
173867
INDIANA COMPREHENSIVE
IN
05
—
200086440
—
IN
01
—
3170035
AETNA
—
05
—
7100037900
—
KY
01
—
H24078
MERCY HEALTH PLAN
—
01
—
P00443719
RAILROAD MEDICARE
—
Enumeration date
09/07/2006
Last updated
05/06/2022
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