Individual
CHARLES A SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4180 TREMONT BND, BARGERSVILLE, IN 46106-9500
(317) 497-6333
Mailing address
4180 TREMONT BND, BARGERSVILLE, IN 46106-9500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01061482A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383933
ANTHEM
IN
01
—
000000652932
ANTHEM
IN
01
—
000000680955
ANTHEM
IN
05
—
200806000
—
IN
01
—
P01549387
RR MEDICARE
IN
Enumeration date
07/20/2006
Last updated
06/14/2023
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