Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 01024016 | IN |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 01024016A | IN |
N | 207RC0200X | Critical Care Medicine | 01024016A | IN |
NPI | 1245295849 |
---|---|
Provider Name | Eric S Williams |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-1228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 31/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060066274 | RAILROAD MEDICARE (01) | IN |
100058680 | (05) | IN |
C24281 | (02) | IN |