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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHRISTIAN PROVENZA

Active Sole Proprietor

CHRISTIAN PROVENZA is a Critical Care Medicine healthcare provider located in INDIANAPOLIS, Indiana. NPI 1659906741 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · INDIANAPOLIS, IN

Registration Details

NPI Number
1659906741
Provider Type
Individual
Gender
Male
NPI Issued
Mar 9, 2020 (6.4557405580319 yrs)
Last Updated
Jul 11, 2025
Licenses
67438 (TN)
01096646A (IN)
Sole Proprietor
Yes

Practice Information

Address
1120 WEST MICHIGAN STREET
GATCH HALL OFFICE CL 285
INDIANAPOLIS, IN, 46202
Browse IN providers · Browse ZIP 46202
Phone
3172780042
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Critical Care Medicine

Other Critical Care Medicine Providers in INDIANAPOLIS, IN

Name Credential NPI
BASSAM N HELOU M.D. 1629072111
GEORGE ELIAS M.D. 1225032725
SURESH G. DEVNANI M.D. 1730183237
MICHAEL BOULOS M.D. 1083618581
BRUCE M ACKERMAN M.D. 1154327633
LAWRENCE J BORTENSCHLAGER M.D. 1801897236
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.