Individual
CLAUDET C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2030 CHURCHMAN AVE, BEECH GROVE, IN 46107-1044
(317) 781-2100
(317) 781-2109
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01067179A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322104
ANTHEM BLUE CROSS
OH
01
—
04529
PARAMOUNT
—
05
—
2205321
—
OH
01
—
7679166
AETNA
—
01
—
P00108820
RAILROAD MEDICARE
—
Enumeration date
09/09/2005
Last updated
10/03/2023
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