Individual provider · NPI-1

Jose Bonnin, M.D.

Pathology, Clinical Pathology/Laboratory Medicine · Indianapolis, IN

NPI number1366409120
StatusActive
Last updated in NPPESJan 29, 2021

Details

NPI
1366409120
Entity type
Individual (NPI-1)
Name
Jose Bonnin
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 27, 2006
Certification date
Jan 29, 2021
Last updated
Jan 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine01036377AINYes

Practice location

635 Barnhill Dr
A128
Indianapolis, IN 46202-5126

Phone 317-274-4806

Mailing address

635 Barnhill Dr
A128
Indianapolis, IN 46202-5126

Phone 317-274-4806

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