Individual
JOSEPH RAYMOND ZENISEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(317) 962-0527
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01074594A
IN
207RC0000X
Cardiovascular Disease Physician
04-39838
KS
207RI0011X
Interventional Cardiology Physician
04-39838
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100210180
—
KY
Enumeration date
04/09/2009
Last updated
11/30/2020
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