MEDICARE: DR. DAVID MARK SNELSON 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
1	2084P0800X	Psychiatry Physician	01024826A	IN
2	2084P0804X	Child & Adolescent Psychiatry Physician	01024826A	IN

General Provider Information

NPI Number	:	1497851950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MARK SNELSON M.D.

Provider Business Mailing Address
First Line	:	6930 E 71ST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4262
Country	:	US
Telephone Number	:	317-841-8600
Fax Number	:	317-842-8349

Provider Business Practice Location Address
First Line	:	6930 E 71ST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4262
Country	:	US
Telephone Number	:	317-841-8600
Fax Number	:	317-842-8349

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. DAVID MARK SNELSON M.D.” Practice Location

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