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NPI Code Detail

MEDICARE: CLAUDET C SMITH MD

MEDICARE: CLAUDET C SMITH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician01067179AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00108820OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17679166OTHERAETNA
304529OTHERPARAMOUNT
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5000000322104OTHEROHANTHEM BLUE CROSS

General Provider Information

NPI Number : 1124012729
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDET C SMITH MD
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 2030 CHURCHMAN AVE
Second Line :
City : BEECH GROVE
State : IN
Zip : 46107-1044
Country : US
Telephone Number : 317-781-2100
Fax Number : 317-781-2109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 10/03/2023

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Directions to “ CLAUDET C SMITH MD” Practice Location

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