Individual
MR. THOMAS VICTOR NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01038818A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085345
ANTHEM
IN
01
—
000000765510
ANTHEM
IN
01
—
100010397
RAILROAD MEDICARE
IN
01
—
100011194
TCARE
—
05
—
100176050
—
IN
05
—
64042369
—
KY
Enumeration date
10/18/2006
Last updated
03/22/2025
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