Individual
DR. CHARLES R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8450 NORTHWEST BLVD., INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD., INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01047574A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
01047574A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200215940
—
IN
Enumeration date
06/30/2005
Last updated
05/16/2024
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