Provider Demographics
NPI:1326052341
Name:VIEGAS, VALERIE (MD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:VIEGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:A
Other - Last Name:PAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2890
Mailing Address - Country:US
Mailing Address - Phone:317-621-2360
Mailing Address - Fax:317-355-2854
Practice Address - Street 1:8501 E 56TH ST
Practice Address - Street 2:SUITE 120
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-2118
Practice Address - Country:US
Practice Address - Phone:317-621-2360
Practice Address - Fax:317-355-2854
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054096A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000312843OtherANTHEM
IN200351460Medicaid
INP00188383OtherMEDICARE RAILROAD
INP00966980OtherRR MEDICARE
INP00188383OtherMEDICARE RAILROAD
IN214190AMedicare PIN
IN200351460Medicaid