Individual
ELIZABETH BENSON PARTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13100 E 136TH ST STE 1200, FISHERS, IN 46037-9418
(317) 678-3100
(317) 678-3108
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
66561
WI
207R00000X
Internal Medicine Physician
01086358A
IN
208000000X
Pediatrics Physician
01086358A
IN
208D00000X
General Practice Physician
Primary
01086358A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430C99
MEDICARE
IN
05
—
300053326
—
IN
Enumeration date
05/29/2015
Last updated
02/28/2023
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