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Individual

LUIS E COLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 E 86TH ST, INDIANAPOLLIS, IN 46240-1807
(317) 844-5500
(317) 208-2248
Mailing address
901 E 86TH ST, INDIANAPOLLIS, IN 46240
(317) 844-5500
(317) 208-2248

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01038813A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000738436
ANTHEM
IN
05
100325970
IN
01
P01019242
RR MCR
IN
Enumeration date
03/28/2006
Last updated
02/21/2024
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