Individual
JERIN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10590 N MERIDIAN ST, CARMEL, IN 46290-1028
(317) 338-6666
Mailing address
10590 N MERIDIAN ST, CARMEL, IN 46290-1028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02007828A
IN
207R00000X
Internal Medicine Physician
OS16808
FL
207RC0000X
Cardiovascular Disease Physician
Primary
02007828A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106517700
—
FL
01
—
OS16808
FLORIDA MEDICAL LICENSE
FL
01
—
T1709
TEXAS MEDICAL LICENSE
TX
Enumeration date
03/27/2017
Last updated
08/15/2024
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