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Contact Information

MITCHELL D KRATHWOHL, MD
550 UNIVERSITY BLVD # UH3005
INDIANAPOLIS, IN46202-5149
 Phone: 317-962-8851
 Fax: 317-962-5957
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MITCHELL D KRATHWOHL · (Male)

NPI # 1447225818
Status Active
Credentials MD
Entity Individual
Enumeration date 02/21/2006
Last updated 12/07/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01046293A
  • IN Medicaid 200206000
  • IN Other 000000377245 ANTHEM ID NUMBER
  • IN Other 000000720384 ANTHEM PROVIDER NUMBER FOR TIN 35-2030653
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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