MEDICARE: JULIA P DUNN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01086691A	IN
2	207R00000X	Internal Medicine Physician	40357	TN
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	01086691A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4193137	OTHER	TN	BCBST
4	1102848001	OTHER	IN	ANTHEM PTAN

General Provider Information

NPI Number	:	1043367857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA P DUNN MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 ESKENAZI AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-0001
Country	:	US
Telephone Number	:	317-843-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	03/16/2025

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Directions to “ JULIA P DUNN MD” Practice Location

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