IndividualActive
Banks Kooken, MD
NPI 1720614613 · Pulmonary Disease Physician · Indianapolis, IN
Provider details
- NPI number
- 1720614613
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2023-01844 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-0000
Approximate (ZIP-level) locationGet directions
Mailing address
1120 W Michigan St Ofc Cl285
Indianapolis, IN 46202-5209
Additional practice locations (2)
- 1350 S Kings DrCharlotte, NC 28207-2134Phone: (704) 446-1242
- 400 E Morehead StSte 202Charlotte, NC 28202-2610Phone: (704) 355-0607
Registry dates
- Enumerated
- 2020-03-23
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.