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1548366024

NPI Code Detail

MEDICARE: ADAM J FISCH MD

MEDICARE: ADAM J FISCH 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	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	01066277A	IN
2	2084N0400X	Neurology Physician	01066277A	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

General Provider Information

NPI Number	:	1548366024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM J FISCH MD

Provider Business Mailing Address
First Line	:	6983 HILLSDALE CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2054
Country	:	US
Telephone Number	:	317-849-8350
Fax Number	:	317-576-6311

Provider Business Practice Location Address
First Line	:	8402 HARCOURT RD STE 615
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-2055
Country	:	US
Telephone Number	:	317-806-6991
Fax Number	:	317-806-6990

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	03/22/2021

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Directions to “ ADAM J FISCH MD” Practice Location

Language	Start Address	Practice Location

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