Jack M Drew in Indianapolis - Diagnostic Radiology

Jack M Drew - NPI 1255321014

Jack M Drew is a Diagnostic Radiology in Indianapolis, Indiana. Jack M Drew practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jack M Drew is 1255321014. The last update date is 2016-10-05.

Jack M Drew's current location address is 5901 Technology Center Dr, Indianapolis, Indiana. You can contact this provider via phone number 7195781162 and fax number 7195781462. The mailing address for Jack M Drew is 5901 Technology Center Dr, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack M Drew
Address 5901 Technology Center Dr, Indianapolis, Indiana
Phone Number 7195781162
Fax Number 7195781462
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1255321014
Provider Enumeration Date 2005-10-24
Last Updated Date 2016-10-05

Provider Mailing Address Detail

Address 5901 Technology Center Dr
City Indianapolis
State Indiana (IN)
Post Code 462786013
Phone Number 7195781162
Fax Number 7195781462

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No DR.0051824
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24275069 CO --

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FAQs about Jack M Drew

What is the Jack M Drew's 1255321014?

The Jack M Drew's NPI (National Provider Identifier) Number is 1255321014. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jack M Drew is physically located?

The Jack M Drew is physically situated at the following address: 5901 Technology Center Dr, Indianapolis, IN, 462786013.

What is the area of specialization for Jack M Drew, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jack M Drew is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Jack M Drew receive the assignment of its 1255321014 from the Centers for Medicare & Medicaid Services?

The Jack M Drew was issued its 1255321014 by the Centers for Medicare & Medicaid Services on 2005-10-24.

When was the Jack M Drew's information last updated?

The Jack M Drew's information was last updated on 2016-10-05.

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