Individual
DR. PAUL ANTHONY FRASCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2020 W 86TH ST, STE 200, INDIANAPOLIS, IN 46260-1931
(317) 871-5900
(317) 872-6439
Mailing address
2020 W 86TH ST, STE 200, INDIANAPOLIS, IN 46260-1931
(317) 871-5900
(317) 872-6439
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
02001543
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100378530
—
IN
01
—
180017836
RAILROAD MEDICARE
IN
Enumeration date
06/09/2005
Last updated
01/03/2008
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