Individual
MR. ESTEBAN PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
722221
TX
367500000X
Certified Registered Nurse Anesthetist
R200861
MD
367H00000X
Anesthesiologist Assistant
Primary
722221
IN
367H00000X
Anesthesiologist Assistant
722221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430G96
MEDICARE
IN
Enumeration date
06/27/2012
Last updated
03/14/2023
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