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Contact Information

IU ANESTHESIOLOGY ASSOCIATES-ICU, LLC
1120 SOUTH DR
FESLER HALL, ROOM 204
INDIANAPOLIS, IN46202-5135
 Phone: 317-274-0269
 Fax: 317-614-9655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for IU ANESTHESIOLOGY ASSOCIATES ICU LLC · (Female)

NPI # 1710092358
Status Active
Credentials
Entity Individual
Enumeration date 08/21/2006
Last updated 10/16/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200849550A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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