Healthcare Provider Details

I. General information

NPI: 1659782654
Provider Name (Legal Business Name): MARIA FACADIO ANTERO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2014
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12188A N MERIDIAN ST STE 250
CARMEL IN
46032-4426
US

IV. Provider business mailing address

12188A N MERIDIAN ST STE 250
CARMEL IN
46032-4426
US

V. Phone/Fax

Practice location:
  • Phone: 317-571-1637
  • Fax: 317-571-9483
Mailing address:
  • Phone: 317-571-1637
  • Fax: 317-571-9483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberME148030
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD84882
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number01096325A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: