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Individual

MATTHEW SCOTT PAINSCHAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1030 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5201
(317) 948-6260
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061353
IL
207RH0003X
Hematology & Oncology Physician
2016-00511
NC
207RX0202X
Medical Oncology Physician
Primary
01096288A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125061353
ILLINOIS PHYSICIAN LICENSE
IL
Enumeration date
06/22/2012
Last updated
10/07/2025
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