Provider Demographics
NPI:1659480697
Name:OBEIME, CHRISTOPHER I (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:I
Last Name:OBEIME
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:PO BOX 40081
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-0081
Mailing Address - Country:US
Mailing Address - Phone:317-334-0303
Mailing Address - Fax:317-334-0063
Practice Address - Street 1:3330 FOUNDERS RD, SUITE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1333
Practice Address - Country:US
Practice Address - Phone:317-334-0303
Practice Address - Fax:317-334-0063
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010453590174400000X
IN01045359207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200305540AMedicaid
INH27902Medicare UPIN
IN167830Medicare ID - Type Unspecified