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RIESA M BURNETT, MD – NPI #1396903589
Plastic and Reconstructive Surgery

NPI Profile for Dr RIESA M BURNETT in CARMEL, IN.

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Contact Information

RIESA M BURNETT, MD
13450 N MERIDIAN ST STE 145
CARMEL, IN  46032-1484
 Phone: 317-338-8788
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

 2086S0122X 02 Physician/General Surgery
 

Surgery

 208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RIESA M BURNETT · (Female)

NPI # 1396903589
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2008
Last updated 06/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01067554A
  • OH License # 35.126101
  • IN Other 11014009A TEMPORARY STATE LICENCE
Hospital affiliation(s)
  • ST VINCENT CARMEL HOSPITAL INC - (Acute Care)
    13500 N MERIDIAN ST
    CARMEL, IN 46032
  • ST VINCENT HOSPITAL & HEALTH SERVICES - (Acute Care)
    2001 W 86TH ST
    INDIANAPOLIS, IN 46260
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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