Individual
MEGAN ELIZABETH CARMONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-0275
(317) 274-0256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01086178A
IN
207L00000X
Anesthesiology Physician
2015019312
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001560681
ANTHEM PTAN
IN
05
—
300052216
—
IN
Enumeration date
06/18/2015
Last updated
11/25/2024
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