Individual
DR. MATTHEW E BOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17600 SHAMROCK BLVD, WESTFIELD, IN 46074-7002
(317) 214-5468
Mailing address
17600 SHAMROCK BLVD, WESTFIELD, IN 46074-7002
(317) 214-5468
(317) 214-5469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS015141
PA
207R00000X
Internal Medicine Physician
OT012164
PA
207RG0100X
Gastroenterology Physician
Primary
02004091A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201095720
—
IN
Enumeration date
08/15/2008
Last updated
04/24/2025
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