Pescovitz, Mark D

Pescovitz, Mark D is an individual health care provider with primary practice located at 550 University Blvd. #Uh 4601 , Indianapolis IN 46202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Pescovitz, Mark D can be contacted via phone (317) 274-4370.

Contact Information

Primary practice address
550 University Blvd. #Uh 4601 Indianapolis IN 46202
Phone: (317) 274-4370
Fax: (317) 278-3268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 01036924A Indiana

Profile Details

NPI number 1942211313
LBN Legal business name Pescovitz, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 9th, 2010 - about 15 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 1942211313 NPPES
Indiana MEDICAID 200002680A

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