Individual
DR. HARRY C GENOVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1869
Mailing address
PO BOX 664056, INDIANAPOLIS, IN 46266-4056
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01039245A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361770A
—
IN
Enumeration date
02/01/2006
Last updated
06/30/2011
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