TIMOTHY MICHAEL EISENHUT MD NPI 1396832887

NPI Information

Timothy Michael Eisenhut, MD is a pediatrics in Indianapolis, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Timothy Michael Eisenhut, MD NPI is 1396832887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6640 PARKDALE PLACE
SUITE U
INDIANAPOLIS, IN
ZIP 46254-698
Phone: (317) 291-5190
Fax: (317) 291-1510

The CLIA number assigned to this NPI record is 15D0671237 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 1/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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