MEDICARE: DR. THOMAS ANDREW HARDY 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	01045593A	IN

General Provider Information

NPI Number	:	1619301165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS ANDREW HARDY M.D.

Provider Business Mailing Address
First Line	:	1417 STONEY CREEK CIR
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-9115
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1417 STONEY CREEK CIR
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-9115
Country	:	US
Telephone Number	:	317-575-1908
Fax Number	:

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

Provider Enumeration Date	:	09/02/2013
Last Update Date	:	09/02/2013

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