Individual
ETHAN D VALINETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-2000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.MD.60965323
WA
207RI0200X
Infectious Disease Physician
Primary
01086090A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264910297
MEDICARE
IN
05
—
300052187
—
IN
Enumeration date
05/23/2015
Last updated
10/03/2025
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