Individual
CHAD EDWARD TEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11455 N MERIDIAN ST, SUITE 200, CARMEL, IN 46032-1624
(317) 582-8180
Mailing address
11455 N MERIDIAN ST, SUITE 200, CARMEL, IN 46032-1624
(317) 582-8180
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01076697A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001016480
BLUE CROSS BLUE SHIELD
IN
05
—
201362110
—
IN
Enumeration date
04/26/2011
Last updated
07/27/2016
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