Bennett Benito Desadier in Indianapolis - Specialist

Bennett Benito Desadier - NPI 1972507879

Bennett Benito Desadier is a Specialist in Indianapolis, Indiana. Bennett Benito Desadier practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bennett Benito Desadier is 1972507879. The last update date is 2007-07-08.

Bennett Benito Desadier's current location address is 2020 W 86th St, Indianapolis, Indiana. You can contact this provider via phone number 3173341692 and fax number 3173341693. The mailing address for Bennett Benito Desadier is 2020 W 86th St, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Bennett Benito Desadier
Address 2020 W 86th St, Indianapolis, Indiana
Phone Number 3173341692
Fax Number 3173341693
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1972507879
Provider Enumeration Date 2005-06-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2020 W 86th St
City Indianapolis
State Indiana (IN)
Post Code 4626019310
Phone Number 3173341692
Fax Number 3173341693

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 24318
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Bennett Benito Desadier

What is the Bennett Benito Desadier's 1972507879?

The Bennett Benito Desadier's NPI (National Provider Identifier) Number is 1972507879. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Bennett Benito Desadier?

The Bennett Benito Desadier is situated at 2020 W 86Th St, in the city of Indianapolis, state of IN, with the zip code 4626019310.

What is Bennett Benito Desadier's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bennett Benito Desadier is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did Bennett Benito Desadier receive its 1972507879 assignment from the Centers for Medicare & Medicaid Services?

The Bennett Benito Desadier was assigned its 1972507879 on 2005-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Bennett Benito Desadier most recently updated?

The details pertaining to the Bennett Benito Desadier, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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