Individual
DR. FABRICIO GUIMARAES GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-6793
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-4171
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD478544
PA
2085R0202X
Diagnostic Radiology Physician
Primary
01098281A
IN
Other
Enumeration date
12/20/2022
Last updated
01/27/2026
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