Individual
ASOK C ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1044 W WALNUT ST, R4-202, INDIANAPOLIS, IN 46202-5254
(317) 274-3960
Mailing address
550 N MERIDIAN ST, STE 114, INDIANAPOLIS, IN 46204-1207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01032613A
IN
207RH0000X
Hematology (Internal Medicine) Physician
01032613A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01032613
IN
207RX0202X
Medical Oncology Physician
01032613A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109688
ANTHEM PTAN
IN
05
—
100073900
—
IN
Enumeration date
04/20/2006
Last updated
02/26/2025
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