Individual
VINCENT B DELUMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8040 CLEARVISTA PARKWAY, SUITE 490, INDIANAPOLIS, IN 46256-4673
(317) 621-5450
(317) 621-5453
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01044980
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000764307
ANTHEM
IN
05
—
200105790
—
IN
05
—
200105790A
—
IN
01
—
P01347696
MEDICARE RR PTAN
IN
Enumeration date
10/19/2005
Last updated
11/27/2023
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