Cudiamat, Maria Carmen

Cudiamat, Maria Carmen is an individual health care provider with primary practice located at 120 W Mckenzie Rd Ste H , Greenfield IN 46140-1072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cudiamat, Maria Carmen can be contacted via phone (317) 462-2335.

Contact Information

Primary practice address
120 W Mckenzie Rd Ste H Greenfield IN 46140-1072
Phone: (317) 462-2335
Fax: (317) 462-2069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01060435A Indiana

Profile Details

NPI number 1942283510
LBN Legal business name Cudiamat, Maria Carmen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Apr 9th, 2018 - about 7 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 1942283510 NPPES
Indiana Other 200311740 MEDICAID GROUP #
Indiana Other 5717399 MEDICAID GROUP #
Indiana Other 000000383143 MEDICAID GROUP #
Indiana MEDICAID 200544230 MEDICAID GROUP #

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