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NPI Code Detail

MEDICARE: MICHAEL VENTURINI MD

MEDICARE: MICHAEL VENTURINI 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
1207RC0000XCardiovascular Disease Physician01030011AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01214691OTHERINRR MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34004486OTHERINAETNA

General Provider Information

NPI Number : 1457350779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL VENTURINI MD
Provider Business Mailing Address
First Line : 8180 CLEARVISTA PKWY
Second Line : SUITE 230
City : INDIANAPOLIS
State : IN
Zip : 46256-5629
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8075 N SHADELAND AVE
Second Line : 200
City : INDIANAPOLIS
State : IN
Zip : 46250-2693
Country : US
Telephone Number : 317-621-8500
Fax Number : 317-621-8501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 01/31/2014

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Directions to “ MICHAEL VENTURINI MD” Practice Location

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