Individual
BETH L BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 INTELLIPLEX DR STE 260, SHELBYVILLE, IN 46176-8580
(317) 398-0121
(317) 398-0538
Mailing address
30 W RAMPART ST, STE 200, SHELBYVILLE, IN 46176-8846
(317) 398-0121
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375176
ANTHEM
IN
05
—
100127960
—
IN
01
—
P01197276
RR MEDICARE PTAN
IN
Enumeration date
07/27/2006
Last updated
12/27/2021
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