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NPI Code Detail

MEDICARE: CHAD MICHAEL O'NAN MD

MEDICARE: CHAD MICHAEL O'NAN 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
1207Q00000XFamily Medicine Physician01056331AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194708107
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD MICHAEL O'NAN MD
Provider Business Mailing Address
First Line : 12174 N MERIDIAN ST STE 300
Second Line :
City : CARMEL
State : IN
Zip : 46032-4578
Country : US
Telephone Number : 317-688-9000
Fax Number : 317-680-9900
Provider Business Practice Location Address
First Line : 12174 N MERIDIAN ST STE 300
Second Line :
City : CARMEL
State : IN
Zip : 46032-4578
Country : US
Telephone Number : 317-688-9000
Fax Number : 317-680-9900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 12/12/2022

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Directions to “ CHAD MICHAEL O'NAN MD” Practice Location

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