Krathwohl, Mitchell D
Krathwohl, Mitchell D is an individual health care provider with primary practice located at 550 University Blvd # Uh3005 , Indianapolis IN 46202-5149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Krathwohl, Mitchell D can be contacted via phone (317) 962-8851.Contact Information
Primary practice address
550 University Blvd # Uh3005
Indianapolis IN 46202-5149
Phone: (317) 962-8851
Fax: (317) 962-5957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01046293A | Indiana |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 01046293A | Indiana |
Profile Details
| NPI number | 1447225818 |
|---|---|
| LBN Legal business name | Krathwohl, Mitchell D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Dec 7th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447225818 | NPPES |
| Indiana | Other | 000000377245 | ANTHEM ID NUMBER |
| Indiana | MEDICAID | 200206000 | ANTHEM ID NUMBER |
| Indiana | Other | 000000720384 | ANTHEM ID NUMBER |
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