Individual
MAURICE HENEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2100
Mailing address
3908 MEADOWS DR STE C, INDIANAPOLIS, IN 46205-3114
(317) 957-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058792A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200485300
—
IN
01
—
P01588237
RR MEDICARE
IN
Enumeration date
09/20/2006
Last updated
02/26/2026
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