Individual
STEPHANIE MARIE STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
714 N SENATE AVE, SUITE 120, INDIANAPOLIS, IN 46202-3763
(812) 499-0014
Mailing address
714 N SENATE AVE STE 120, INDIANAPOLIS, IN 46202-3297
(317) 963-0555
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01073636A
IN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
01073636A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102579481
ANTHEM PTAN
IN
05
—
300028724
—
IN
Enumeration date
04/01/2010
Last updated
06/09/2025
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