Individual
MITCHELL ALAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13100 E 136TH ST STE 1200, FISHERS, IN 46037-9418
(317) 678-3100
Mailing address
PO BOX 713577, CHICAGO, IL 60677-0403
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01037994A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086775
ANTHEM
IN
05
—
100132010
—
IN
Enumeration date
08/25/2006
Last updated
02/26/2026
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