Individual
BETH A PFAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-8162
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01036741
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01036741A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100352250
—
IN
01
—
260046861
RAIL ROAD MEDICARE
IN
Enumeration date
05/20/2006
Last updated
07/24/2014
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