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Individual

CHRISTOPHER A SINSABAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 N UNIVERSITY BLVD, ROOM 0641, INDIANAPOLIS, IN 46202-2879
(317) 948-2449
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01075911A
IN
208D00000X
General Practice Physician
01075911A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300033773
IN
01
959090107
MEDICARE PTAN
IN
01
P02556389
RAILROAD PTAN
IN
Enumeration date
05/12/2014
Last updated
01/30/2024
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