Individual provider · NPI-1
Claudet C Smith, MD
Internal Medicine · Beech Grove, IN
NPI number1124012729
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1124012729
- Entity type
- Individual (NPI-1)
- Name
- Claudet C Smith
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2005
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01067179A | IN | Yes |
Practice location
2030 Churchman AveBeech Grove, IN 46107-1044
Phone 317-781-2100 · Fax 317-781-2109
Mailing address
Po Box 781076Detroit, MI 48278-1076
Phone 317-528-4800 · Fax 317-865-1479
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