Provider Demographics
NPI:1780679076
Name:SCHWARTZ, ALAN LEE (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEE
Last Name:SCHWARTZ
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 1:8424 NAAB RD
Mailing Address - Street 2:SUITE 3-L
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1975
Mailing Address - Country:US
Mailing Address - Phone:317-879-9777
Mailing Address - Fax:317-879-9788
Practice Address - Street 1:8424 NAAB RD
Practice Address - Street 2:SUITE 3-L
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1975
Practice Address - Country:US
Practice Address - Phone:317-879-9777
Practice Address - Fax:317-879-9788
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038581A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100216570AMedicaid
IN000000328121OtherINDIANA ANTHEM/WELLPOINT