person
Timothy D Divens, MD
Diagnostic Radiology Physician in Indianapolis, Indiana
NPI 1164416475

Timothy D Divens is a Diagnostic Radiology Physician based in Indianapolis, IN and is specialized in Diagnostic Radiology. Timothy D Divens practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Timothy D Divens is 1164416475 and holds a License No. 1050545 (Indiana).

The current practice location address for Timothy D Divens is 9998 Crosspoint Blvd Ste 200, Indianapolis, IN and can be reached out via phone at 317-579-2150 and via fax at 317-579-2130. You can also correspond with Timothy D Divens through the mailing address at 9998 CROSSPOINT BLVD, INDIANAPOLIS, IN - 46256-3307 (mailing address contact number: 317-579-2150).

Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN, 46256-3307
person
Provider Profile Details
NPI Number
1164416475
Provider Name
Timothy D Divens
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9998 Crosspoint Blvd Ste 200, Indianapolis, IN, 46256-3307
Phone Number
317-579-2150
Fax Number
317-579-2130
Provider Enumeration Date
09/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300124562 01 IN RAILROAD MEDICARE
P00024122 01 RAILROAD MEDICARE
000000204809 01 IN ANTHEM
300138597 01 RAILROAD MEDICARE
P00023582 01 RAILROAD MEDICARE
P00023583 01 RAILROAD MEDICARE
P00023584 01 RAILROAD MEDICARE
P00024079 01 RAILROAD MEDICARE
P00024419 01 RAILROAD MEDICARE
P00023585 01 RAILROAD MEDICARE
P00024260 01 RAILROAD MEDICARE
P00024421 01 RAILROAD MEDICARE
P00346514 01 RAILROAD MEDICARE
20025310A 05 IN
P000233634 01 RAILROAD MEDICARE
P00023634 01 RAILROAD MEDICARE
P00024059 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
9998 Crosspoint Blvd Ste 200
City
State
Zip
46256-3307
Phone Number
317-579-2150
Fax Number
317-579-2130
person
Provider Business Mailing Address Details
Address
9998 Crosspoint Blvd Ste 200
City
State
Zip
46256-3307
Phone Number
317-579-2150
Fax Number
317-579-2130
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
01050545A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
1050545 (Indiana)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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