Individual
CARL R CHRISTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-4343
(317) 274-0256
Mailing address
705 RILEY HOSPITAL DR STE 2820, INDIANAPOLIS, IN 46202-5109
(317) 274-4343
(317) 274-0256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01087915A
IN
207L00000X
Anesthesiology Physician
57.24566
OH
207LP3000X
Pediatric Anesthesiology Physician
01087915A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103134330
ANTHEM PTAN
IN
05
—
300078723
—
IN
Enumeration date
03/20/2018
Last updated
11/26/2024
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