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NPI Code Detail

MEDICARE: DR. JOEL C BOAZ M.D.

MEDICARE: DR. JOEL C BOAZ M.D.
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
1207T00000XNeurological Surgery Physician01032172IN

General Provider Information

NPI Number : 1518960186
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL C BOAZ M.D.
Provider Business Mailing Address
First Line : 10767 ILLINOIS ST STE 3000
Second Line :
City : CARMEL
State : IN
Zip : 46032-8972
Country : US
Telephone Number : 317-817-1200
Fax Number : 317-817-1220
Provider Business Practice Location Address
First Line : 10767 ILLINOIS ST STE 3000
Second Line :
City : CARMEL
State : IN
Zip : 46032-8972
Country : US
Telephone Number : 317-817-1200
Fax Number : 317-817-1220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 08/11/2022

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Directions to “ DR. JOEL C BOAZ M.D.” Practice Location

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