Individual
DR. CARL M PAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8890 E 116TH ST, SUITE 300, FISHERS, IN 46038-2820
(317) 621-1500
(317) 621-1509
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01052893A
IN
207Q00000X
Family Medicine Physician
Primary
01052893A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000572613
ANTHEM
IN
01
—
000000603506
ANTHEM - TIPTON HOSPITAL
IN
01
—
000000850979
ANTHEM PIN
IN
05
—
200297780
—
IN
01
—
P01679333
RR MEDICARE
IN
Enumeration date
10/19/2005
Last updated
10/12/2016
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