Provider Demographics
NPI:1710987896
Name:LEE, T HOWARD (MD)
Entity Type:Individual
Prefix:MR
First Name:T HOWARD
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8301 HARCOURT RD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2081
Mailing Address - Country:US
Mailing Address - Phone:817-415-6600
Mailing Address - Fax:317-415-6649
Practice Address - Street 1:8301 HARCOURT RD
Practice Address - Street 2:SUITE #200
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2081
Practice Address - Country:US
Practice Address - Phone:817-415-6600
Practice Address - Fax:317-415-6649
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-29
Last Update Date:2024-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01027107207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E05828Medicare UPIN
IN796030AMedicare ID - Type Unspecified