Individual
ERIK ALLEN IMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, STE 2180, INDIANAPOLIS, IN 46202-5149
(317) 944-7718
(317) 944-1289
Mailing address
550 N MERIDIAN ST, STE 114, INDIANAPOLIS, IN 46204-1207
(317) 274-3960
(317) 274-5168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01057842A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01057842A
IN
208000000X
Pediatrics Physician
01057842A
IN
2080P0205X
Pediatric Endocrinology Physician
01057842
IN
2080P0205X
Pediatric Endocrinology Physician
Primary
01057842A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526927
ANTHEM PTAN
IN
01
—
000000527153
ANTHEM PTAN
IN
05
—
200858580
—
IN
Enumeration date
03/06/2007
Last updated
03/10/2025
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