DR. MICHAEL THOMAS CLARK MD NPI 1780147298

NPI Information

NPI: 1780147298
Provider Name: DR. MICHAEL THOMAS CLARK, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Address:
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-8906
Get Directions

DR. Michael Thomas Clark, MD is a pediatric cardiology pediatrics in Indianapolis, IN. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. Michael Thomas Clark, MD NPI is 1780147298. 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:

705 RILEY HOSPITAL DR
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-8906

The enumeration date for this NPI number is 4/11/2019 and was last updated on 7/25/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	01088048A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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