Provider Demographics
NPI:1881698454
Name:STROBEL, DONALD DOUGLAS (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:DOUGLAS
Last Name:STROBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:D
Other - Middle Name:DOUGLAS
Other - Last Name:STROBEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3000 W 131ST ST
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8794
Mailing Address - Country:US
Mailing Address - Phone:317-490-0486
Mailing Address - Fax:
Practice Address - Street 1:3000 W 131ST ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8794
Practice Address - Country:US
Practice Address - Phone:317-490-0486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055643A2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200415140Medicaid
IN200415140Medicaid
IN200415140Medicaid
716700XMedicare PIN