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NPI Code Detail

MEDICARE: DR. JOSEPH BENJAMIN PITT MD

MEDICARE: DR. JOSEPH BENJAMIN PITT 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
1208600000XSurgery Physician01099688AIN
22086S0120XPediatric Surgery Physician01099688AIN

General Provider Information

NPI Number : 1851958896
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH BENJAMIN PITT MD
Provider Business Mailing Address
First Line : 705 RILEY HOSPITAL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 705 RILEY HOSPITAL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5109
Country : US
Telephone Number : 317-278-2032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2019
Last Update Date : 06/23/2026

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