Individual
DEREK ALEXANDER OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13000 N MERIDIAN ST STE 101, CARMEL, IN 46032-1404
(317) 848-1402
(317) 575-6912
Mailing address
13000 N MERIDIAN ST STE 101, CARMEL, IN 46032-1404
(317) 848-1402
(317) 575-6912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059574A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000622151
ANTHEM
IN
01
—
000000665052
ANTHEM - FMC
IN
01
—
000000693155
ANTHEM - FPA
IN
05
—
200946890
—
IN
Enumeration date
10/10/2006
Last updated
07/16/2025
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