Provider Demographics
NPI:1124040118
Name:MARKAND, OMKAR N (MD)
Entity Type:Individual
Prefix:
First Name:OMKAR
Middle Name:N
Last Name:MARKAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 UNIVERSITY BLVD
Practice Address - Street 2:IH 1710
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5124
Practice Address - Country:US
Practice Address - Phone:317-948-5450
Practice Address - Fax:317-944-6973
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01024072A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000087172OtherANTHEM
IN100067180Medicaid
INP00849277OtherRAILROAD MEDICARE PTAN
IN000000087172OtherANTHEM
INP00849277OtherRAILROAD MEDICARE PTAN