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NPI Code Detail

MEDICARE: CELESTE ABIAH RICHARDSON

MEDICARE:   CELESTE ABIAH RICHARDSON
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1508668492
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTE ABIAH RICHARDSON
Provider Business Mailing Address
First Line : 545 BARNHILL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5112
Country : US
Telephone Number : 317-278-6833
Fax Number :
Provider Business Practice Location Address
First Line : 550 UNIVERSITY BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5149
Country : US
Telephone Number : 317-944-7744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2025
Last Update Date : 06/17/2026

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Directions to “ CELESTE ABIAH RICHARDSON ” Practice Location

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