Individual
DR. GRANT FABIAN CHERNOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N SENATE AVE # B401, INDIANAPOLIS, IN 46202-3111
(321) 439-3876
Mailing address
701 N SENATE AVE # B401, INDIANAPOLIS, IN 46202-3111
(317) 994-4705
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101268806
VA
Other
Enumeration date
06/05/2015
Last updated
07/09/2020
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