Provider Demographics
NPI:1508818121
Name:TOULOUKIAN, CHRISTOPHER E (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:E
Last Name:TOULOUKIAN
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 1:545 BARNHILL DR
Mailing Address - Street 2:EH 5TH FLOOR
Mailing Address - City:INDPLS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5125
Mailing Address - Country:US
Mailing Address - Phone:317-274-4122
Mailing Address - Fax:317-274-0241
Practice Address - Street 1:545 BARNHILL DR EH 5TH FLOOR
Practice Address - Street 2:UNIVERSITY SURGEONS INC
Practice Address - City:INDPLS
Practice Address - State:IN
Practice Address - Zip Code:46202-5125
Practice Address - Country:US
Practice Address - Phone:317-274-4122
Practice Address - Fax:317-274-0241
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1059865A174400000X
IN01059865A208600000X
NY277027208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No174400000XOther Service ProvidersSpecialist
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200380910Medicaid
IN233690JMedicare ID - Type Unspecified
IN200380910Medicaid