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Individual

DR. LAURA BORGENHEIMER VATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
535 BARNHILL DR, INDIANAPOLIS, IN 46202-5116
(317) 944-0920
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01088107A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01088107A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019400A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264910392
MEDICARE
IN
05
300066519
IN
Enumeration date
06/13/2017
Last updated
03/14/2025
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