Individual
WARREN B GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 N CAPITOL AVE, NP E140, INDIANAPOLIS, IN 46202-1218
(317) 962-2894
(317) 963-5285
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01066353A
IN
208M00000X
Hospitalist Physician
01066353A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000673133
ANTHEM PTAN
IN
05
—
200990240
—
IN
01
—
P00886806
RAILROAD MEDICARE
IN
Enumeration date
05/26/2008
Last updated
03/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us