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NPI Code Detail

MEDICARE: THOMAS HOLIAN MD

MEDICARE: THOMAS HOLIAN 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
1207R00000XInternal Medicine Physician01040078AIN
2207RP1001XPulmonary Disease Physician01040078AIN
3207RC0200XCritical Care Medicine (Internal Medicine) Physician01040078AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396730354
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS HOLIAN MD
Provider Business Mailing Address
First Line : 8333 NAAB RD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1983
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8333 NAAB RD STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1983
Country : US
Telephone Number : 317-338-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 06/30/2022

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Directions to “ THOMAS HOLIAN MD” Practice Location

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