Organization
INDIANAPOLIS ENDOCRINOLOGY & DIABETOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE CARDONE (BILLING MANAGER)
(317) 872-5877
Entity
Organization
Contact information
Practice address
8330 NAAB RD, SUITE 140, INDIANAPOLIS, IN 46260-5925
(317) 872-5159
(317) 872-5150
Mailing address
8330 NAAB RD, SUITE 140, INDIANAPOLIS, IN 46260-5925
(317) 872-5877
(317) 872-5150
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000101559
ANTHEM/BCBS
IN
05
—
100062260A
—
IN
01
—
CL8428
RAILROAD MEDICARE
IN
Enumeration date
10/13/2006
Last updated
11/17/2010
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