MEDICARE: WILLIAM LANGLEY 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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1538919097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM LANGLEY MD

Provider Business Mailing Address
First Line	:	350 WEST 14TH STREET
Second Line	:	HA - 6065
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5115
Country	:	US
Telephone Number	:	317-274-0267
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 WEST 14TH STREET
Second Line	:	HA - 6065
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5115
Country	:	US
Telephone Number	:	317-274-0267
Fax Number	:

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

Provider Enumeration Date	:	03/26/2024
Last Update Date	:	07/21/2025

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