Organization
INDIANAPOLIS GASTROENTEROLOGY, LLC
Active
Organization
INDIANAPOLIS GASTROENTEROLOGY, LLC
Active
Other names
Indianapolis Gastroenterology & Hepatology, Indianapolis Gastroenterology and Hepatology
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MICHAEL RN (PRACTICE ADMINISTRATOR)
(317) 865-2955
Entity
Organization
Contact information
Practice address
8051 S EMERSON AVE STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-2944
Mailing address
8051 S EMERSON AVE STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
(317) 865-2944
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
IN
363A00000X
Physician Assistant
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058600A
—
IN
Enumeration date
07/07/2005
Last updated
04/06/2023
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