Healthcare Provider Details
I. General information
NPI: 1891229431
Provider Name (Legal Business Name): LIBERTY FOYE STRANGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/19/2017
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
705 RILEY HOSPITAL DR
INDIANAPOLIS IN
46202-5109
US
IV. Provider business mailing address
PO BOX 778912
CHICAGO IL
60677-8912
US
V. Phone/Fax
- Phone: 317-944-2143
- Fax:
- Phone: 317-777-6435
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 88857 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0207X |
| Taxonomy | Pediatric Hematology & Oncology Physician |
| License Number | 88857 |
| License Number State | GA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0207X |
| Taxonomy | Pediatric Hematology & Oncology Physician |
| License Number | 01097060A |
| License Number State | IN |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 0116030177 |
| License Number State | VA |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 0101269908 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: