Timothy D Divens in Indianapolis - Diagnostic Radiology

Timothy D Divens - NPI 1164416475

Timothy D Divens is a Diagnostic Radiology in Indianapolis, Indiana. Timothy D Divens practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Timothy D Divens is 1164416475. The last update date is 2020-12-24.

Timothy D Divens's current location address is 9998 Crosspoint Blvd, Indianapolis, Indiana. You can contact this provider via phone number 3175792150 and fax number 3175792130. The mailing address for Timothy D Divens is 9998 Crosspoint Blvd, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy D Divens
Address 9998 Crosspoint Blvd, Indianapolis, Indiana
Phone Number 3175792150
Fax Number 3175792130
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1164416475
Provider Enumeration Date 2005-09-01
Last Updated Date 2020-12-24

Provider Mailing Address Detail

Address 9998 Crosspoint Blvd
City Indianapolis
State Indiana (IN)
Post Code 462563307
Phone Number 3175792150
Fax Number 3175792130

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 1050545
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
300124562 IN RAILROAD MEDICARE
P00024122 RAILROAD MEDICARE
204809 IN ANTHEM
300138597 RAILROAD MEDICARE
P00023582 RAILROAD MEDICARE
P00023583 RAILROAD MEDICARE
P00023584 RAILROAD MEDICARE
P00024079 RAILROAD MEDICARE
P00024419 RAILROAD MEDICARE
P00023585 RAILROAD MEDICARE

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FAQs about Timothy D Divens

What is the Timothy D Divens's 1164416475?

The Timothy D Divens's NPI (National Provider Identifier) Number is 1164416475. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Timothy D Divens is physically located?

The Timothy D Divens is situated at the following address: 9998 Crosspoint Blvd, Indianapolis, IN 462563307.

What is Timothy D Divens's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Timothy D Divens is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.

When did the Timothy D Divens receive its 1164416475?

The Timothy D Divens was issued its 1164416475 on 2005-09-01, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Timothy D Divens most recently updated or revised?

The details related to Timothy D Divens, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-24.

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