Individual
JUDITH C VAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1303 N ARLINGTON AVE, SUITE # 2, INDIANAPOLIS, IN 46219-8300
(317) 359-9671
(317) 359-9672
Mailing address
6626 E. 75TH STREET, SUITE # 500, INDIANAPOLIS, IN 46250-2890
(317) 355-7199
(317) 355-9022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01067683A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200990950
—
IN
01
—
P01009918
RR MEDICARE PTAN
IN
Enumeration date
02/25/2008
Last updated
11/27/2023
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