NPI 1760745582 · live from the CMS NPI Registry
Benjamin Paolo M Abratigue, D.O.
Family Medicine in Indianapolis, IN. National Provider Identifier 1760745582, active.
NPI record
| NPI | 1760745582 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1402 E County Line Rd, Indianapolis, IN 46227 |
| Practice phone | 317-887-7000 |
| Mailing address | 6626 E 75th St, Suite 500, Indianapolis, IN 46250 |
| Enumerated | June 18, 2012 |
| Last updated | June 4, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 11016709A (IN) |
| Family Medicine primary | 207Q00000X | 02004522A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.