Provider Demographics
NPI:1134335318
Name:AMOS, ELTON (MD)
Entity type:Individual
Prefix:DR
First Name:ELTON
Middle Name:
Last Name:AMOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8780 PURDUE RD
Mailing Address - Street 2:SUITE # 7
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6129
Mailing Address - Country:US
Mailing Address - Phone:317-471-8701
Mailing Address - Fax:317-471-8702
Practice Address - Street 1:8780 PURDUE RD
Practice Address - Street 2:SUITE # 7
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-6129
Practice Address - Country:US
Practice Address - Phone:317-471-8701
Practice Address - Fax:317-471-8702
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2010-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01034178207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine