Individual
KONRAD M SZYMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-5000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01072466A
IN
2088P0231X
Pediatric Urology Physician
Primary
01072466A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11016534A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000821736
ANTHEM BCBS PIN
IN
05
—
201106540
—
IN
Enumeration date
07/06/2012
Last updated
03/12/2025
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