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General NPI Number Information
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NPI Number | 1649262742
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Entity Type | Individual
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Provider Name | ANDREW R. GREENSPAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 11725 N ILLINOIS ST SUITE 565
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City | CARMEL
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State | IN
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Zip | 46032-3008
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Country | US
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Telephone | 317-819-5320
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Fax | 317-819-5333
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 01037518
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License Number State | IN
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