Estrada, Mark C

Estrada, Mark C is an individual health care provider with primary practice located at 75 N State Road 135 , Greenwood IN 46142-1456. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Estrada, Mark C can be contacted via phone (317) 962-6793.

Contact Information

Primary practice address
75 N State Road 135 Greenwood IN 46142-1456
Phone: (317) 962-6793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01044930 Indiana
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 01044930 Indiana

Profile Details

NPI number 1760425284
LBN Legal business name Estrada, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 16th, 2021 - about 3 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 1760425284 NPPES
Indiana Other P00176826 RAILROAD MEDICARE
Indiana MEDICAID 200186830 RAILROAD MEDICARE

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