Individual
MICHAEL A HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 PENNSYLVANIA PKWY STE 205, CARMEL, IN 46280-1393
(317) 817-1800
(317) 817-1810
Mailing address
201 PENNSYLVANIA PKWY STE 325, CARMEL, IN 46280-1398
(317) 817-1800
(317) 817-1810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01039467A
IN
207VE0102X
Reproductive Endocrinology Physician
Primary
01039467A
IN
207VE0102X
Reproductive Endocrinology Physician
207VE0102X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001311174
ANTHEM PTAN
IN
05
—
300031176
—
IN
Enumeration date
09/22/2006
Last updated
02/24/2025
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