Individual
CAROL C. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101268193
VA
207L00000X
Anesthesiology Physician
01088728A
IN
207L00000X
Anesthesiology Physician
18397
SC
207L00000X
Anesthesiology Physician
2019-02479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174513824
EMPLOYER NPI
—
05
—
183973
—
SC
Enumeration date
05/25/2006
Last updated
04/11/2024
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