Individual
ELIZABETH JOACHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-5000
(317) 963-5492
Mailing address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01092674A
IN
390200000X
Student in an Organized Health Care Education/Training Program
R78494
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104175837
ANTHEM PTAN
IN
05
—
300090790
—
IN
Enumeration date
03/22/2021
Last updated
11/07/2024
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