Carrelli, Antonio

Carrelli, Antonio is an individual health care provider with primary practice located at 927 N Pennsylvania St , Indianapolis IN 46204-1020. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Carrelli, Antonio can be contacted via phone (317) 686-9779.

Contact Information

Primary practice address
927 N Pennsylvania St Indianapolis IN 46204-1020
Phone: (317) 686-9779
Fax: (317) 686-5810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01034546 Indiana

Profile Details

NPI number 1144202292
LBN Legal business name Carrelli, Antonio
Credentials MD, MEDICAL DIRECTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 7th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144202292 NPPES
Indiana MEDICAID 100106520

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