Individual
CHARLES D CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N SAMUEL MOORE PKWY, STE B, MOORESVILLE, IN 46158-1467
(317) 483-5060
(317) 483-5065
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01042767
IN
207R00000X
Internal Medicine Physician
Primary
01042767A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200010700
—
IN
Enumeration date
06/20/2006
Last updated
01/06/2021
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