Individual
MARK D TASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 SOUTH DR # FH204, INDIANAPOLIS, IN 46202-5135
(317) 274-0275
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01029390
IN
207L00000X
Anesthesiology Physician
Primary
01029390A
IN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01029390A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100324690
—
IN
Enumeration date
05/17/2006
Last updated
11/25/2024
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