Individual
DR. KAREN T DICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 715-9965
Mailing address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 715-9965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01041270A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111060
ANTHEM-351158723
IN
01
—
000000492341
ANTHEM 203778927
IN
01
—
005556
SIHO-351158723
IN
05
—
100348890
—
IN
01
—
108057
HEALTH ALLIANCE-351158723
IN
01
—
300113616
RR MEDICARE-351158723
IN
01
—
Q0086512
CMOSHO351158723&352047427
IN
Enumeration date
10/22/2005
Last updated
12/04/2009
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