Individual
KAREN L ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 W 16TH ST, SUITE 3200, INDIANAPOLIS, IN 46202-2207
(317) 963-7400
(317) 963-7425
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01034313A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087173
ANTHEM
IN
05
—
100067330
—
IN
Enumeration date
07/25/2006
Last updated
01/29/2021
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