Healthcare Provider Details

I. General information

NPI: 1407830391
Provider Name (Legal Business Name): STEVEN CRAIG VEATCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2005
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 NAAB RD STE 360
INDIANAPOLIS IN
46260-1983
US

IV. Provider business mailing address

8333 NAAB RD STE 360
INDIANAPOLIS IN
46260-1983
US

V. Phone/Fax

Practice location:
  • Phone: 317-332-6400
  • Fax: 317-338-6612
Mailing address:
  • Phone: 317-332-6400
  • Fax: 317-338-6612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number01045910A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01045910A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: