Individual
DR. JOSHUA AARON WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N. SENATE BLVD, INDIANAPOLIS, IN 46202-1212
(317) 963-1400
(317) 963-1453
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-1400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01074543A
IN
208C00000X
Colon & Rectal Surgery Physician
Primary
01074543A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201104510
—
IN
01
—
233690041
MEDICARE PTAN
IN
Enumeration date
07/10/2008
Last updated
08/14/2023
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