Individual
MARK E TIRITILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9443 E 38TH ST, INDIANAPOLIS, IN 46235-2132
(317) 890-2100
(317) 890-2171
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01043935A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200080
—
IN
Enumeration date
05/10/2006
Last updated
10/02/2025
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