Individual
MICHAEL T BARBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8101 CLEARVISTA PKWY STE 200, INDIANAPOLIS, IN 46256-4675
(317) 621-5390
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02000737A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000718449
ANTHEM
IN
05
—
100073070
—
IN
01
—
P01512386
RAILROAD PTAN
IN
Enumeration date
01/23/2006
Last updated
12/10/2024
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