Individual
DR. BRANDON M HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
(317) 871-0010
Mailing address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
(317) 871-0010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065260A
IN
207RH0000X
Hematology (Internal Medicine) Physician
Primary
01065260A
IN
207RH0003X
Hematology & Oncology Physician
01065260A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947870
—
IN
01
—
P00735702
RAILROAD MEDICARE
IN
Enumeration date
11/06/2007
Last updated
04/16/2024
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