Individual
KARI VANESSA WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 806-8296
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 806-8296
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01053549A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000854761
ANTHEM
IN
05
—
200513490
—
IN
01
—
P00832089
RAILROAD MEDICARE
IN
Enumeration date
07/21/2006
Last updated
01/13/2021
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