Individual
THEODORE ALEXANDER NUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 N MERIDIAN ST STE 304, CARMEL, IN 46032-7103
(317) 582-9992
Mailing address
13400 N MERIDIAN ST STE 304, CARMEL, IN 46032-7103
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01042807
IN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
01042807A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091274
ANTHEM
IN
01
—
129480500
DEPT OF LABOR
IN
01
—
130013529
RR MEDICARE
IN
05
—
200015060A
—
IN
01
—
4513460
AETNA
IN
Enumeration date
01/30/2006
Last updated
02/22/2023
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