Provider Demographics
NPI:1891098034
Name:TOTH, PHILLIP D (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:D
Last Name:TOTH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8803 N MERIDIAN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-5317
Mailing Address - Country:US
Mailing Address - Phone:317-705-7050
Mailing Address - Fax:317-705-7051
Practice Address - Street 1:8803 N MERIDIAN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5317
Practice Address - Country:US
Practice Address - Phone:317-705-7050
Practice Address - Fax:317-705-7051
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01028472A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine