Individual
DR. CATHERINE C RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13100 136TH STREET, SUITE 1200, FISHERS, IN 46037-9748
(317) 678-3100
(317) 678-3108
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01037715
IN
208000000X
Pediatrics Physician
01037715
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100334850
—
IN
Enumeration date
06/16/2006
Last updated
02/27/2014
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