MEDICARE: WILLIAM GRAHAM CARLOS III MD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	01062620A	IN
2	207R00000X	Internal Medicine Physician	01062620A	IN
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	01062620A	IN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00984592	OTHER	IN	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000701666	OTHER	IN	ANTHEM PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000001024448	OTHER	IN	ANTHEM PTAN

NPI Number	:	1245403427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM GRAHAM CARLOS III MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8333 NAAB RD STE 250
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1983
Country	:	US
Telephone Number	:	317-338-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	01/23/2026

8333 NAAB RD STE 300
INDIANAPOLIS, IN
46260-1983

Practice Phone: 317-338-6499
Practice Fax: 317-338-9081

8333 NAAB RD STE 250
INDIANAPOLIS, IN
46260-1983