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NPI Code Detail

MEDICARE: ASOK C ANTONY MD

MEDICARE:   ASOK C ANTONY  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 Physician01032613AIN
2207RH0000XHematology (Internal Medicine) Physician01032613AIN
3207RX0202XMedical Oncology Physician01032613AIN
4207RH0003XHematology & Oncology Physician01032613IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000109688OTHERINANTHEM PTAN

General Provider Information

NPI Number : 1427013416
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASOK C ANTONY MD
Provider Business Mailing Address
First Line : 550 N MERIDIAN ST
Second Line : STE 114
City : INDIANAPOLIS
State : IN
Zip : 46204-1207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1044 W WALNUT ST
Second Line : R4-202
City : INDIANAPOLIS
State : IN
Zip : 46202-5254
Country : US
Telephone Number : 317-274-3960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 02/26/2025

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Directions to “ ASOK C ANTONY MD” Practice Location

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