MEDICARE: ROBERT S JOSEPH 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
1	207R00000X	Internal Medicine Physician	01031265A	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

General Provider Information

NPI Number	:	1609870120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT S JOSEPH M.D.

Provider Business Mailing Address
First Line	:	920 N SHADELAND AVE
Second Line	:	SUITE G1
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4817
Country	:	US
Telephone Number	:	317-355-9783
Fax Number	:	317-355-9760

Provider Business Practice Location Address
First Line	:	7250 CLEARVISTA DR
Second Line	:	SUITE 120
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-4640
Country	:	US
Telephone Number	:	317-621-5676
Fax Number	:	317-621-5678

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	12/28/2017

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Directions to “ ROBERT S JOSEPH M.D.” Practice Location

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