Individual
DR. ALEX V BARONOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-5820
(317) 962-0050
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
19071
ND
208600000X
Surgery Physician
01084628A
IN
2086S0102X
Surgical Critical Care Physician
01084628
IN
2086S0102X
Surgical Critical Care Physician
Primary
01084628A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01084628
INDIANA STATE LICENSE
IN
05
—
300042620
—
IN
05
—
7100100010
—
KY
Enumeration date
05/05/2014
Last updated
03/07/2023
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