Individual
CHRISTEN K DILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 WISHARD BLVD STE RG4100, INDIANAPOLIS, IN 46202-2872
(317) 312-2713
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01072664A
IN
207RG0100X
Gastroenterology Physician
Primary
01072664A
IN
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
01072664A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000832419
ANTHEM PTAN
IN
05
—
201158650
—
IN
Enumeration date
06/11/2007
Last updated
03/06/2025
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