IndividualActive
Colin Davenport
NPI 1598545360 · Adult Medicine Physician · Indianapolis, IN
Provider details
- NPI number
- 1598545360
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 71016312A (IN)
Practice location
429 E Vermont St Ste 110
Indianapolis, IN 46202-3685
Phone: (317) 559-0850
Mailing address
11150 Lantern Rd Apt 319
Fishers, IN 46038-2340
Registry dates
- Enumerated
- 2023-09-29
- Last updated
- 2025-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.