Individual
JIANMIN TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 NAAB RD STE 230, INDIANAPOLIS, IN 46260-1983
(317) 415-6580
Mailing address
8333 NAAB RD STE 230, INDIANAPOLIS, IN 46260-1983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073047A
IN
207RG0100X
Gastroenterology Physician
Primary
01073047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
09/26/2008
Last updated
05/23/2022
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