Provider Demographics
NPI:1407074198
Name:FLAUMENHAFT, GAD (DPM)
Entity Type:Individual
Prefix:DR
First Name:GAD
Middle Name:
Last Name:FLAUMENHAFT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5471 GEORGETOWN RD
Mailing Address - Street 2:STE C
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5794
Mailing Address - Country:US
Mailing Address - Phone:317-297-0661
Mailing Address - Fax:317-328-6338
Practice Address - Street 1:475 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-1315
Practice Address - Country:US
Practice Address - Phone:317-776-0077
Practice Address - Fax:317-776-0085
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000411A213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100125660AMedicaid
INFL318620Medicare ID - Type Unspecified
IN100125660AMedicaid