Individual
DR. JEFFERY J SOLDATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13430 N MERIDIAN ST STE 367, CARMEL, IN 46032-1484
(317) 575-2700
(317) 575-2713
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01058912
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
01058912A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200273270
—
IN
Enumeration date
05/22/2006
Last updated
05/16/2024
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