Individual
KOFI K QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1633 N CAPITOL AVE, STE 322, INDIANAPOLIS, IN 46202-1261
(317) 962-2929
(317) 962-2070
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01068231A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200984600
—
IN
01
—
P00896684
RAILROAD MEDICARE
IN
Enumeration date
05/18/2010
Last updated
07/30/2025
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