| Christian Provenza, | |
|
1120 West Michigan Street, Gatch Hall Office Cl 285, Indianapolis, IN 46202 | |
| (317) 278-0042 | |
| Not Available |
| Full Name | Christian Provenza |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 1120 West Michigan Street, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659906741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 67438 (Tennessee) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 01096646A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Provenza, 1120 West Michigan Street, Gatch Hall Office Cl 285, Indianapolis, IN 46202 Ph: Not Available | Christian Provenza, 1120 West Michigan Street, Gatch Hall Office Cl 285, Indianapolis, IN 46202 Ph: (317) 278-0042 |
Irene A Carrothers, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 |
Liam P Howley, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 |
Dr. Satish Kenchaiah, MD, MPH Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-4989 |
Gretchen Suarez, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Michigan St, Indianapolis, IN 46202 Phone: 317-278-0042 Fax: 317-278-0027 |
Zachary Jarrett, DO Critical Care Medicine Medicare: May Accept Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-962-5820 |
Dr. Omair Ahmad Syed, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 640 Eskenazi Ave # F2-600, Indianapolis, IN 46202 Phone: 317-278-5570 |
Dr. Jodie R Harper, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219 Phone: 317-621-4657 Fax: 317-355-8750 |