Individual
DR. EVAN R SCHIFFLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8101 CLEARVISTA PARKWAY, SUITE 200, INDIANAPOLIS, IN 46256
(317) 621-5390
(317) 621-7885
Mailing address
6626 E. 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-4139
(317) 621-7885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01072247A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201094400
—
IN
01
—
P01221106
RR MEDICARE PTAN
IN
Enumeration date
03/27/2010
Last updated
11/27/2023
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