Individual
DR. CHARLES MIRAMONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5926 CRAWFORDSVILLE RD UNIT B, INDIANAPOLIS, IN 46224-3722
(317) 653-2730
(317) 321-1935
Mailing address
PO BOX 746720, ATLANTA, GA 30374-6720
(312) 733-7303
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01054513
IN
207P00000X
Emergency Medicine Physician
25IA12475000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200384150
—
IN
Enumeration date
06/12/2006
Last updated
04/17/2025
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