Individual
THEODORE ALEXANDER NUKES
Active
Individual
THEODORE ALEXANDER NUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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