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NPI Code Detail

MEDICARE: DR. JOSEPH WAYNE EKE JR. MD

MEDICARE:  DR. JOSEPH WAYNE EKE JR. 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
1208D00000XGeneral Practice Physician01047083AIN
2208D00000XGeneral Practice Physician35.079654OH
3208D00000XGeneral Practice Physician48179KY
42085R0204XVascular & Interventional Radiology Physician01047083AIN

General Provider Information

NPI Number : 1952307480
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH WAYNE EKE JR. MD
Provider Business Mailing Address
First Line : 9100 KEYSTONE XING STE 400
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-2159
Country : US
Telephone Number : 317-800-2369
Fax Number :
Provider Business Practice Location Address
First Line : 711 S EAST ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46225-1317
Country : US
Telephone Number : 317-800-2369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 09/15/2021

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Directions to “ DR. JOSEPH WAYNE EKE JR. MD” Practice Location

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