Individual
DR. JOSEPH REPASO SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5510 S EAST ST STE H, INDIANAPOLIS, IN 46227-1939
(317) 924-8425
(317) 824-8424
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
(317) 924-6785
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
02002287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359233
ANTHEM NUMBER
IN
05
—
200509620
—
IN
Enumeration date
07/28/2005
Last updated
04/28/2025
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