Individual
DR. HIRAM JEFFERY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 INNOVATION PKWY, #100, GREENWOOD, IN 46143-3601
(317) 884-5200
(317) 884-5360
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01037479A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01037479
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100350970
—
IN
Enumeration date
05/23/2006
Last updated
03/26/2021
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