Individual provider · NPI-1

Andres Martin Acosta, MD

Pathology, Anatomic Pathology · Indianapolis, IN

NPI number1275948127
StatusActive
Last updated in NPPESMay 5, 2025

Details

NPI
1275948127
Entity type
Individual (NPI-1)
Name
Andres Martin Acosta
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 29, 2014
Certification date
May 5, 2025
Last updated
May 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0101X Pathology, Anatomic Pathology01088583AINYes
207ZC0006X Pathology, Clinical Pathology273737MA
208D00000X General Practice33128-1ZZ

Practice location

350 W 11th St
Indianapolis, IN 46202-4108

Phone 317-491-6000 · Fax 317-491-6534

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

75 Francis St
Boston, MA 02115-6110

Phone 617-732-5500

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Phone 888-484-3258

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