Individual
ETHAN TOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(317) 278-2689
Mailing address
1120 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(317) 278-2689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01090784A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01090784A
IN
207RP1001X
Pulmonary Disease Physician
01090784A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
06/17/2025
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