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NPI Code Detail

MEDICARE: ERIN LESLIE MCCAMMACK MD

MEDICARE:   ERIN LESLIE MCCAMMACK  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 Physician01075492AIN
2207R00000XInternal Medicine PhysicianMD469678PA
3208M00000XHospitalist PhysicianMD469678PA
42085R0001XRadiation Oncology Physician31902MN

General Provider Information

NPI Number : 1306188248
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LESLIE MCCAMMACK MD
Provider Business Mailing Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6100 W 96TH ST STE 125
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-6006
Country : US
Telephone Number : 317-715-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2013
Last Update Date : 12/20/2024

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Directions to “ ERIN LESLIE MCCAMMACK MD” Practice Location

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