Individual
CONRAD EMERSON DEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 E STOP 11 RD, SUITE 440, INDIANAPOLIS, IN 46237-6340
(317) 882-2857
(317) 882-2873
Mailing address
1801 N SENATE BLVD, SUITE 355, INDIANAPOLIS, IN 46202-1252
(317) 924-8420
(317) 924-8424
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01058716
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336170
ANTHEM NUMBER
IN
05
—
200474440
—
IN
Enumeration date
06/30/2005
Last updated
02/23/2016
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