Individual
GEORGE ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7120 CLEARVISTA DR, STE 2100, INDIANAPOLIS, IN 46256-1621
(317) 621-2740
(317) 621-5658
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01050411A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200384380A
—
IN
01
—
P01191804
RR MEDICARE PTAN
IN
Enumeration date
06/13/2005
Last updated
11/25/2014
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