Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 01062379A | IN |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 01062379A | IN |
NPI | 1245259837 |
---|---|
Provider Name | Christopher T Salerno |
First Address | Indianapolis, IN 46260-1316 |
Second Address | Indianapolis, IN 46260-2193 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 18/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000483010 | BCBS PIN (01) | |
200834280A | (05) | IN |
G16916 | (02) | |
P00351796 | RAILROAD MEDICARE PIN (01) |