Individual
PETER A WALTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10590 N MERIDIAN ST # 105, CARMEL, IN 46290-1028
(317) 583-7800
Mailing address
10590 N MERIDIAN ST # 105, CARMEL, IN 46290-1028
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01059506A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341622
BCBS PIN
—
05
—
200510810
—
IN
01
—
P00145833
RAILROAD MEDICARE PIN
—
Enumeration date
07/12/2006
Last updated
05/20/2022
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