MEDICARE: DR. HAROLD G BAKER 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	207Q00000X	Family Medicine Physician	01032300A	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	:	1821057985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD G BAKER MD

Provider Business Mailing Address
First Line	:	12524 SOUTHEASTERN AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46259-1152
Country	:	US
Telephone Number	:	317-862-2277
Fax Number	:	317-862-9160

Provider Business Practice Location Address
First Line	:	12524 SOUTHEASTERN AVENUE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46259
Country	:	US
Telephone Number	:	317-862-2277
Fax Number	:	317-862-9160

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

Provider Enumeration Date	:	03/18/2006
Last Update Date	:	03/18/2016

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