Individual
NEAL EDWARD IPEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 TOWN CENTER RD S, SUITEB, MOORESVILLE, IN 46158-2321
(317) 497-2300
(317) 497-2502
Mailing address
6626 E 75TH ST, 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01071411A
IN
207V00000X
Obstetrics & Gynecology Physician
036.123815
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000775099
ANTHEM
IN
05
—
201075840
—
IN
01
—
400280
GROUP MEDICARE PTAN
IL
Enumeration date
02/17/2010
Last updated
11/27/2023
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