Individual
MATTHEA RENTEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8820 S MERIDIAN ST STE 200, INDIANAPOLIS, IN 46217-6058
(317) 865-6750
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 948-9174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01078309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430609
MEDICARE
IN
Enumeration date
06/12/2014
Last updated
07/21/2022
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