Individual
DR. FELIPE P PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1633 N CAPITOL AVE, SUITE 322, INDIANAPOLIS, IN 46202-1261
(317) 962-2929
(317) 962-2070
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01066834A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036087451
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000621525
ANTHEM BCBS
IN
05
—
200485200
—
IN
01
—
P00774845
RAILROAD MEDICARE
IN
Enumeration date
06/13/2006
Last updated
01/06/2021
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