Individual
DR. BENJAMIN STEVEN RANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-7666
(317) 880-0448
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01078246A
IN
208000000X
Pediatrics Physician
01078246A
IN
208M00000X
Hospitalist Physician
Primary
01078246A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001082920
ANTHEM PROVIDER NUMBER
IN
05
—
300002041
—
IN
Enumeration date
05/29/2013
Last updated
03/10/2026
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