Provider Demographics
NPI:1437139144
Name:WEST, KAREN W (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:W
Last Name:WEST
Suffix:
Gender:F
Credentials:MD
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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:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8040 CLEARVISTA PKWY
Practice Address - Street 2:SUITE 460
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256
Practice Address - Country:US
Practice Address - Phone:317-621-2660
Practice Address - Fax:317-621-1595
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2020-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01027896A2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100143770Medicaid
INP01777146OtherRR MEDICARE
E03648Medicare UPIN
IN185720EMedicare ID - Type Unspecified
INP01777146OtherRR MEDICARE