Individual
DR. ALAN J WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4050 CENTRAL AVENUE, COLUMBUS, IN 47203
(812) 376-9427
Mailing address
2955 FRANKLIN DR, COLUMBUS, IN 47201-2911
(812) 342-7583
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01032855
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991459
ANTHEM PIN
IN
05
—
100342750
—
IN
Enumeration date
06/08/2005
Last updated
01/14/2026
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