Individual
STEVEN GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8333 NAAB RD STE 250, INDIANAPOLIS, IN 46260-1983
(317) 338-5100
Mailing address
8333 NAAB RD STE 250, INDIANAPOLIS, IN 46260-1983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01084292A
IN
207R00000X
Internal Medicine Physician
R1753
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01084292A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
99099407A
IN
207RP1001X
Pulmonary Disease Physician
01084292A
IN
207RP1001X
Pulmonary Disease Physician
99099407A
IN
Other
Enumeration date
05/06/2013
Last updated
03/27/2024
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