Individual
THOMAS J HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6105 SHAWNEE TRAIL SOUTH DR, INDIANAPOLIS, IN 46220-5069
(317) 621-3970
Mailing address
6105 SHAWNEE TRAIL SOUTH DR, INDIANAPOLIS, IN 46220-5069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1040674A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000778728
ANTHEM
IN
05
—
100354700
—
IN
01
—
P01291579
RAILROAD MEDICARE
IN
Enumeration date
05/03/2006
Last updated
07/25/2023
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