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NPI Code Detail

MEDICARE: GEORGE ELIAS M.D.

MEDICARE: GEORGE ELIAS M.D.
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician01050411AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01191804OTHERINRR MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225032725
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE ELIAS M.D.
Provider Business Mailing Address
First Line : 6626 E 75TH ST
Second Line : SUITE 500
City : INDIANAPOLIS
State : IN
Zip : 46250-2805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7120 CLEARVISTA DR
Second Line : STE 2100
City : INDIANAPOLIS
State : IN
Zip : 46256-1621
Country : US
Telephone Number : 317-621-2740
Fax Number : 317-621-5658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 11/25/2014

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Directions to “ GEORGE ELIAS M.D.” Practice Location

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