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Contact Information

TIMOTHY A GOEDDE MD PC
7430 N SHADELAND AVE
SUITE 230
INDIANAPOLIS, IN46250-2036
 Phone: 317-288-2456
 Fax: 317-288-2461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY A GOEDDE MD PC · (Female)

NPI Number 1073703260
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2007
Last updated 03/19/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200870480A
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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