Provider Demographics
NPI:1598904781
Name:ELDRIDGE, TONI (MD)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:
Last Name:ELDRIDGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8023 MILL POND LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-2104
Mailing Address - Country:US
Mailing Address - Phone:317-298-4243
Mailing Address - Fax:317-298-4264
Practice Address - Street 1:8023 MILL POND LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-2104
Practice Address - Country:US
Practice Address - Phone:317-298-4243
Practice Address - Fax:317-298-4264
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01040068A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology