Individual
PHILIPPE B DELALANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2330 S DIXON RD, KOKOMO, IN 46902-6411
(765) 455-5400
Mailing address
2330 S DIXON RD, KOKOMO, IN 46902-6411
(765) 455-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01047411
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000585028
ANTHEM
IN
05
—
200272090
—
IN
Enumeration date
06/16/2006
Last updated
03/29/2021
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