Individual
CAROL EISENHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
10291 N MERIDIAN ST STE 100, INDIANAPOLIS, IN 46290-1000
(317) 874-1254
Mailing address
9550 ZIONSVILLE RD, SUITE 200, INDIANAPOLIS, IN 46268-1065
(317) 872-0116
(317) 874-1440
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01036079
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01036079
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01036079
LICENSE
IN
01
—
036099414
LICENSE
IL
05
—
100132730
—
IN
01
—
35086530
LICENSE
OH
05
—
64130495
—
KY
Enumeration date
09/24/2006
Last updated
05/06/2022
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