Individual
MITCHELL K CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1801 N SENATE BLVD, SUITE 230, INDIANAPOLIS, IN 46202-1252
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02004093A
IN
207R00000X
Internal Medicine Physician
OS013963
PA
207RC0000X
Cardiovascular Disease Physician
02004093A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
02004093A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000791427
ANTHEM PTAN
IN
05
—
201120220
—
IN
Enumeration date
04/13/2007
Last updated
03/06/2025
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