Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01075508A | IN |
N | 111NI0900X | Internist | 01075508A | IN |
N | 207RH0000X | Hematologist | 01075508A | IA |
Y | 207RH0003X | Hematology & Oncology | 01075508A | IN |
NPI | 1396011292 |
---|---|
Provider Name | Dr. Anthony Michel Betbadal |
First Address | Indianapolis, IN 46260-1920 |
Second Address | Indianapolis, IN 46260-1920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2012 |
Last Update Date | 09/09/2021 |