Individual
ANDREW PANNABECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-6666
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073065A
IN
208M00000X
Hospitalist Physician
Primary
01073065A
IN
390200000X
Student in an Organized Health Care Education/Training Program
BP1-0037573
TX
Other
Enumeration date
08/03/2012
Last updated
04/05/2017
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