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NPI Code Detail

MEDICARE: DR. DION DEBRO CHAVIS M.D.

MEDICARE:  DR. DION DEBRO CHAVIS  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
12086S0105XSurgery of the Hand (Surgery) Physician01042615IN
22086S0122XPlastic and Reconstructive Surgery Physician01042615IN

Other Identifiers

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

General Provider Information

NPI Number : 1982770285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DION DEBRO CHAVIS M.D.
Provider Business Mailing Address
First Line : 9002 N MERIDIAN ST
Second Line : SUITE 104
City : INDIANAPOLIS
State : IN
Zip : 46260-5381
Country : US
Telephone Number : 317-844-7706
Fax Number : 317-843-9604
Provider Business Practice Location Address
First Line : 9002 NORTH MERIDIAN STREET
Second Line : SUITE 104
City : INDIANAPOLIS
State : IN
Zip : 46260-5349
Country : US
Telephone Number : 317-844-7706
Fax Number : 317-843-9604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 03/16/2012

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Directions to “ DR. DION DEBRO CHAVIS M.D.” Practice Location

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