MEDICARE: CHRISTINA R SANTANGELO 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	208000000X	Pediatrics Physician	227954	NY
2	208000000X	Pediatrics Physician	01071394A	IN

Other Identifiers

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

General Provider Information

NPI Number	:	1588604243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA R SANTANGELO MD

Provider Business Mailing Address
First Line	:	720 ESKENAZI AVE
Second Line	:	FIFTH THIRD BANK BLDG, 5TH FL
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5166
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2732 W MICHIGAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-3750
Country	:	US
Telephone Number	:	317-554-4600
Fax Number	:	317-554-4617

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	04/24/2025

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