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General NPI Number Information
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NPI Number | 1740065580
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Entity Type | Individual
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Provider Name | THAIRO ALVES PEREIRA MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 535 BARNHILL DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5116
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Country | US
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Telephone | 317-445-2575
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Fax | 317-278-0221
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Provider Business Mailing Address
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Address Line | 880 MONON GREEN BLVD APT 410
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City | CARMEL
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State | IN
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Zip | 46032-3488
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Country | US
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Telephone | 463-248-7016
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 11023279A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 340044
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License Number State | NY
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