Individual
ANTONIO J NAVARRETE CASAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE, SUITE 300, MUNCIE, IN 47303-3400
(765) 281-2000
(765) 281-2062
Mailing address
250 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219-4959
(317) 963-2720
(317) 962-4392
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01059481A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01059481A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200489310A
—
IN
05
—
200489310B
—
IN
01
—
P00413078
MEDICARE RROAD
IN
01
—
P01616952
RRMEDICARE
IN
Enumeration date
03/10/2006
Last updated
12/08/2021
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