Individual provider · NPI-1
David G Allaben, PA-C
Physician Assistant, Medical · Indianapolis, IN
NPI number1508874983
StatusActive
Last updated in NPPESFeb 7, 2025
Details
- NPI
- 1508874983
- Entity type
- Individual (NPI-1)
- Name
- David G Allaben
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2006
- Certification date
- Feb 7, 2025
- Last updated
- Feb 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 10000634A | IN | Yes |
| 363A00000X | Physician Assistant | 10000634A | IN |
Practice location
1800 N Capitol AveNP E-140
Indianapolis, IN 46202-1218
Phone 317-962-2894 · Fax 317-963-5285
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Other practice locations
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Indianapolis, IN 46202-1239
Phone 888-484-3258
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