National Provider Identifier Database

MICHAEL T CLARK
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

MICHAEL T CLARK
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN46202-5109
Phone: 317-944-8906
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Hospice and Palliative Medicine 2080H0002X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for MICHAEL T CLARK

NPI Number 1780147298
Credentials
Entity Individual
Enumeration date 04/11/2019
Last updated 04/27/2026 - About a month ago
Sole proprietor1 No
Identifiers
  • IN License #: 01088048A
  • OH License #: 35.154087
Hospital affiliation n/a

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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