MEDICARE: BARBARA INTERNAL MEDICINE, PC

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
1	207R00000X	Internal Medicine Physician	02000737A	IN

General Provider Information

NPI Number	:	1215072350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA INTERNAL MEDICINE, PC

Provider Business Mailing Address
First Line	:	3660 GUION RD
Second Line	:	SUITE 310
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-1697
Country	:	US
Telephone Number	:	317-920-7453
Fax Number	:	317-920-7460

Provider Business Practice Location Address
First Line	:	3660 GUION RD
Second Line	:	SUITE 310
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-1697
Country	:	US
Telephone Number	:	317-920-7453
Fax Number	:	317-920-7460

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	TERESA WEBER
Credential	:
Telephone Number	:	317-920-7453

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

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