Individual
LINAS SIMONAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 WISHARD BLVD, IUMG PCC4, INDIANAPOLIS, IN 46202-2872
(317) 692-2323
Mailing address
8910 PURDUE RD, STE 500, INDIANAPOLIS, IN 46268-3161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01059488A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200496410
—
IN
Enumeration date
05/23/2006
Last updated
08/05/2011
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