Individual
GREGORY W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7979 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46250-2042
(317) 621-4300
(317) 621-4301
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
01028173A
IN
207RH0003X
Hematology & Oncology Physician
01028173A
IN
207RX0202X
Medical Oncology Physician
Primary
01028173A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000809081
ANTHEM
IN
05
—
100145650
—
IN
01
—
2031295
CIGNA
IN
01
—
4416644
AETNA
—
01
—
P01751218
RR MEDICARE
IN
Enumeration date
03/16/2006
Last updated
09/06/2023
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