Individual
STEVEN GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 S 19TH ST, ELWOOD, IN 46036-2941
(765) 298-2800
(765) 298-2820
Mailing address
6626 E 75TH ST, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028131A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312523
ANTHEM
IN
05
—
100105480
—
IN
01
—
P000089251
RR MEDICARE
IN
Enumeration date
07/24/2006
Last updated
11/27/2023
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