Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 01086816A | IN |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 01086816A | IN |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD067928L | PA |
NPI | 1083719637 |
---|---|
Provider Name | Dr. David Collier Streitman |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Kansas City, MO 64111-3220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 19/11/2021 |