IndividualActive
Robert Blake, MD
NPI 1396035481 · Neurology with Special Qualifications in Child Neurology Physician · Indianapolis, IN
Provider details
- NPI number
- 1396035481
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01078434A (IN)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 01078434A (IN)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 948-7450
Fax: (317) 968-1193
Approximate (ZIP-level) locationGet directions
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Additional practice locations (2)
- 1701 N Senate BlvdIndianapolis, IN 46202-1239Phone: (888) 484-3258
- 3333 Burnet AvenueMl 2015Cincinnati, OH 45229-3039Phone: (513) 636-4222Fax: (513) 636-4991
Registry dates
- Enumerated
- 2011-04-11
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.