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Dr. Charles Randall Powell Jr., M.D.

Urology in Indianapolis, IN. Individual provider (NPI-1).

NPI number1013125871
StatusActive
Last updated in NPPESMar 4, 2025

Details

NPI
1013125871
Entity type
Individual (NPI-1)
Name
Dr. Charles Randall Powell Jr.
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 17, 2007
Certification date
Mar 4, 2025
Last updated
Mar 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology01066313AINYes
208800000X Urology125044893IL
208800000X Urology37723IA

Practice location

535 Barnhill Dr.
Indianapolis, IN 46202

Phone 317-274-4622 · Fax 317-274-0174

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Phone 888-484-3258

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