Individual
DR. PINKUS GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9002 N MERIDIAN ST STE 107, INDIANAPOLIS, IN 46260-5349
(317) 848-9441
(317) 924-8239
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 350-2163
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
01033874A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100145290
—
IN
01
—
IN1125027
MEDICARE PTAN
IN
01
—
IN1127026
MEDICARE PTAN
IN
Enumeration date
11/16/2005
Last updated
02/07/2023
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