Dr. Darrin Richard Mangiacarne
Family Doctor - Addiction Medicine
8102 Clearvista Pkwy
Indianapolis
, Indiana 46256-1661
Dr. Darrin Richard Mangiacarne
Family Doctor - Addiction Medicine
8102 Clearvista Pkwy
Indianapolis
, Indiana 46256-1661
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Darrin Richard Mangiacarne
- 6626 E 75th St Ste 500
- Indianapolis, IN
- Zip : 46250-2890
- Phone :
Second Address
- Dr. Darrin Richard Mangiacarne
- 8102 Clearvista Pkwy
- Indianapolis, IN
- Zip : 46256-1661
- Phone : (317) 849-8222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | 0102203536 | VA |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 02004594A | IN |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 21086 | MS |
| N | 207QA0401X | Family Doctor - Addiction Medicine | OS014185 | PA |
National Provider Identifier
| NPI | 1417148024 |
|---|---|
| Provider Name | Dr. Darrin Richard Mangiacarne |
| First Address | Indianapolis, IN 46250-2890 |
| Second Address | Indianapolis, IN 46256-1661 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2007 |
| Last Update Date | 07/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.