Provider Demographics
NPI:1659557007
Name:MAY, FREDRICK ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDRICK
Middle Name:ALLEN
Last Name:MAY
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 1:2235 MOON SHADOW LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46280-1733
Mailing Address - Country:US
Mailing Address - Phone:601-672-3543
Mailing Address - Fax:
Practice Address - Street 1:2235 MOON SHADOW LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46280-1733
Practice Address - Country:US
Practice Address - Phone:601-672-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2017-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01027820A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics