Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES MALCOLM CLARK JR., MD
Active Sole ProprietorDR. CHARLES MALCOLM CLARK JR., MD is a Endocrinology, Diabetes & Metabolism healthcare provider located in INDIANAPOLIS, Indiana. NPI 1124301106 is currently active in the NPPES registry. Verify at CMS.
Endocrinology, Diabetes & Metabolism · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1124301106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2011 (14.920026707839 yrs)
- Last Updated
- Sep 26, 2011
- License
-
01020086A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2802 LAFAYETTE ROAD SUITE 13EAGLEDALE HEALTH CENTERINDIANAPOLIS, IN, 462222112Browse IN providers · Browse ZIP 46222
- Phone
- 3179237510
- Fax
- 3179237518
- Primary Specialty
-
Endocrinology, Diabetes & Metabolism
207RE0101X
Other Endocrinology, Diabetes & Metabolism Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| VIDYA SUNDARAM | MD | 1326020900 |
| DR. ANA A PRISCU | MD | 1255313847 |
| CATHERINE L BAIN | MD | 1134193915 |
| MIROSLAVA KOUZMOVA-MONEVA | M.D. | 1649246844 |
| RICHARD CLARK PERRY | DO | 1871562645 |
| MICHAEL J ECONS | MD | 1619931441 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.