MEDICARE: BAOTHU DINH

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	171100000X	Acupuncturist	84000258A	IN

General Provider Information

NPI Number	:	1598624330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAOTHU DINH

Provider Business Mailing Address
First Line	:	819 E 64TH ST STE 102
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1657
Country	:	US
Telephone Number	:	317-893-6240
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 E 64TH ST STE 102
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1657
Country	:	US
Telephone Number	:	317-893-6240
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ BAOTHU DINH ” Practice Location

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