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NPI Profile for COMMUNITY PHYSICIAN NETWORK SPECIALTY CARE LLC in INDIANAPOLIS, IN.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Surgical Oncology |
2086X0206X | 02 | Physician/General Surgery |
| NPI Number | 1588535496 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/15/2025 | |
| Last updated | 03/30/2026 - About 2 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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COMMUNITY PHYSICIAN NETWORK SPECIALTY CARE LLC