Individual
MARGARITA V CZESKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1095 BROAD RIPPLE AVE, SUITE A, INDIANAPOLIS, IN 46220-2034
(317) 621-3680
(317) 621-3689
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01060412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000677273
ANTHEM
IN
05
—
200526940
—
IN
01
—
P01157031
RR MEDICARE PTAN
IN
Enumeration date
09/29/2005
Last updated
11/27/2023
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