Individual
CARMEN L PISC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 281-2030
(765) 448-7667
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01091171A
IN
207RH0003X
Hematology & Oncology Physician
208254
MA
207RX0202X
Medical Oncology Physician
01091171A
IN
207RX0202X
Medical Oncology Physician
63480
CT
207RX0202X
Medical Oncology Physician
9491A
WY
207RX0202X
Medical Oncology Physician
D83526
MD
207RX0202X
Medical Oncology Physician
MD435505
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002070762
HIGHMARK
PA
05
—
008088213
—
CT
05
—
1022897800001
—
PA
05
—
153940
—
MA
01
—
208254
TUFTS HEALTH CARE
MA
01
—
2664150
AETNA US HEALTH
MA
05
—
300080355
—
IN
05
—
30204573
—
NH
01
—
5033388001
CIGNA
MA
01
—
AA14188
HARVARD PILGRIM
MA
01
—
J24402
BLUE CROSS BLUE SHIELD
MA
01
—
M12240477
MEDICARE PTAN
IN
Enumeration date
11/22/2005
Last updated
01/04/2024
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