Provider Demographics
NPI:1164567871
Name:SLAPAK, CHRISTOPHER ALAN (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ALAN
Last Name:SLAPAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:LILLY CORPORATE CENTER
Mailing Address - Street 2:639 S DELAWARE ST
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46225
Mailing Address - Country:US
Mailing Address - Phone:317-276-2129
Mailing Address - Fax:317-276-9666
Practice Address - Street 1:THE WISHARD HOSPITAL HEMATOLOGY CLINIC
Practice Address - Street 2:1050 WISHARD BLVD
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-630-7175
Practice Address - Fax:317-630-6310
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01045789A207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F49365Medicare UPIN