MEDICARE: VINCENT S PARZIALE 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
1	207R00000X	Internal Medicine Physician	01062855A	IN

General Provider Information

NPI Number	:	1457308801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT S PARZIALE MD

Provider Business Mailing Address
First Line	:	6626 E. 75TH STREET
Second Line	:	SUITE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:	317-497-1920
Fax Number	:	317-497-1919

Provider Business Practice Location Address
First Line	:	6920 S EAST STREET
Second Line	:	SUITE B
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-2215
Country	:	US
Telephone Number	:	317-781-1000
Fax Number	:	317-781-1051

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	08/20/2014

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