Individual
JOSEPH IGNAZIO INDIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 747-4454
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01073058A
IN
207Q00000X
Family Medicine Physician
Primary
01073058A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000873321000
ANTHEM PTAN
IN
05
—
201094890
—
IN
Enumeration date
05/31/2012
Last updated
01/14/2025
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