Individual
TIMOTHY TONY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-0269
(317) 614-9655
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01072183A
IN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01072183A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000943338
ANTHEM PTAN
IN
01
—
000000943343
ANTHEM PTAN
IN
01
—
1102526438
ANTHEM PTAN
IN
05
—
201125440
—
IN
Enumeration date
06/10/2010
Last updated
11/21/2024
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