Frederick Daniel Landis III
Gastroenterologist
8424 Naab Rd 3-J
Indianapolis
, Indiana 46260-1975
Frederick Daniel Landis III
Gastroenterologist
8424 Naab Rd 3-J
Indianapolis
, Indiana 46260-1975
(317) 879-8328
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Frederick Daniel Landis III
- 8424 Naab Rd 3-J
- Indianapolis, IN
- Zip : 46260-1975
- Fax : (317) 879-8328
- Phone : (317) 872-7396
Second Address
- Frederick Daniel Landis III
- 8424 Naab Rd 3-J
- Indianapolis, IN
- Zip : 46260-1975
- Fax : (317) 879-8328
- Phone : (317) 872-7396
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 01024835A | IN |
National Provider Identifier
| NPI | 1023000627 |
|---|---|
| Provider Name | Frederick Daniel Landis III |
| First Address | Indianapolis, IN 46260-1975 |
| Second Address | Indianapolis, IN 46260-1975 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2005 |
| Last Update Date | 24/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E11167 | (02) |
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.