Organization · Type 2 NPI
State of Indiana: Indiana Department of Correction
General Practice Physician · Indianapolis, IN
NPI number
1861307340
Active
Practice location
302 W Washington St
Indianapolis, IN 46204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Public Health & General Preventive Medicine Physician | 2083P0901X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1861307340
State of Indiana: Indiana Department of Correction's National Provider Identifier is 1861307340, issued on Aug 18, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 18, 2026.