Individual
MIN ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 SENATE BLVD, ANESTHESIA CONSULTANTS OF INDIANAPOLIS, LLC ROOM A2375, INDIANAPOLIS, IN 46202-1239
(317) 567-2180
(317) 567-2191
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01060802A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001566635
ANTHEM PTAN
IN
01
—
1102244197
ANTHEM PTAN
IN
01
—
1102266183
ANTHEM PTAN
IN
01
—
1245360312
ANTHEM PTAN
IN
05
—
200865630
—
IN
Enumeration date
03/06/2007
Last updated
11/20/2024
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