Individual
DR. CHASE MITCHELL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST # C-7033, INDIANAPOLIS, IN 46202-2803
(765) 617-9387
(317) 988-5648
Mailing address
1481 W 10TH ST # C-7033, INDIANAPOLIS, IN 46202-2803
(765) 617-9387
(317) 988-5648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01079481A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017789A
IN
Other
Enumeration date
06/12/2014
Last updated
01/04/2021
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