Individual
DR. THOMAS ANTHONY CIULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11220 ILLINOIS ST, SUITE 150, CARMEL, IN 46032-0119
(317) 817-1822
(317) 817-1898
Mailing address
11220 ILLINOIS ST STE 150, CARMEL, IN 46032-0119
(317) 817-1822
(317) 817-1898
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01045105A
IN
207WX0107X
Retina Specialist (Ophthalmology) Physician
01045105A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219802
ANTHEM
IN
05
—
200374230B
—
IN
05
—
200374230C
—
IN
05
—
200374230D
—
IN
01
—
38-2642669
38-3642669
IN
Enumeration date
06/02/2005
Last updated
06/19/2025
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