Individual
MICHAEL D FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 491-6000
(317) 491-6534
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
01089339A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01089339A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD064678L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016915030003
—
PA
01
—
068010882
MEDICARE
IN
Enumeration date
06/15/2006
Last updated
02/09/2023
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