NPI 1053379644

Jeremy Tyson Sullivan, MD

Practitioner Internal Medicine Physician Carmel, IN

Practice location

Address: 10601 Winterwood, Carmel, IN 46032-8258
Phone: (615) 478-3720

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 01066525A (IN)

Other Internal Medicine providers in Indiana →

Specialist

Other Service Providers Taxonomy 174400000X Licence 35131 (TN)

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Registry record

NPI: 1053379644
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.