Individual
ELIZABETH A. BRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
996 S STATE ROAD 135, GREENWOOD, IN 46143-7365
(317) 893-3888
(317) 893-3818
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01051047A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01051047A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01051047B
CSR
IN
05
—
200251800
—
IN
01
—
CK6957
RAILROAD GROUP
IN
01
—
DC3600
RAILROAD GROUP
IN
01
—
P00430757
RAILROAD INDIVIDUAL
KY
01
—
P00714991
RAILROAD INDIVIDUAL
IN
Enumeration date
08/10/2006
Last updated
03/07/2023
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