Individual
PABLO MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 JACKSON ST, #110, ANDERSON, IN 46016
(765) 643-6012
(765) 646-9054
Mailing address
2101 JACKSON ST, #110, ANDERSON, IN 46016
(765) 643-6012
(765) 646-9054
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01053191A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01053191A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01053191A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361813
BLUE CROSS BLUE SHIELD
—
05
—
200507830
—
IN
01
—
P00221686
RAILROAD MEDICARE
—
Enumeration date
07/11/2006
Last updated
03/07/2024
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