Individual
WILLIAM G CHERNOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9002 N MERIDIAN ST, SUITE 205, INDIANAPOLIS, IN 46260-5381
(317) 573-8899
(317) 818-2008
Mailing address
9002 N MERIDIAN ST, SUITE 205, INDIANAPOLIS, IN 46260-5381
(317) 573-8899
(317) 818-2008
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01040295
IN
207YS0123X
Facial Plastic Surgery Physician
01040295
IN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
01040295
IN
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
01040295
IN
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
01040295
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091358
ANTHEM
IN
01
—
A051787
LICENSE
CA
Enumeration date
03/09/2007
Last updated
10/30/2008
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