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Individual

JOSEPH EAPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9669 E 146TH ST STE 200, NOBLESVILLE, IN 46060-5008
(317) 621-6300
(317) 621-6310
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-9312
(317) 621-6920

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01063289A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000638746
ANTHEM
IN
05
200856040
IN
Enumeration date
02/06/2006
Last updated
11/27/2023
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