Individual
WHITNEY ANNE BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5750 CARROLLTON AVE, INDIANAPOLIS, IN 46220-2641
(920) 627-0764
Mailing address
5750 CARROLLTON AVE, INDIANAPOLIS, IN 46220-2641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01076302A
IN
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
01076302A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201366560
—
IN
01
—
P01723969
RR MEDICARE
IN
Enumeration date
04/17/2013
Last updated
11/18/2025
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