Healthcare Provider Details

I. General information

NPI: 1528753936
Provider Name (Legal Business Name): KATHERINE ANN WALKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE WALKA MD

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CAPITOL AVE
INDIANAPOLIS IN
46202-1218
US

IV. Provider business mailing address

1800 N CAPITOL AVE STE E371
INDIANAPOLIS IN
46202-1218
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-0700
  • Fax:
Mailing address:
  • Phone: 317-274-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01100098A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: