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NPI 1972507879

IndividualActive

Bennett Desadier, M.D.

NPI 1972507879 · Specialist · Indianapolis, IN

Provider details

NPI number: 1972507879
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: M.D.
Sex: Male
License: 024318 (IN)

Practice location

2020 W 86th St

Ste 305

Indianapolis, IN 46260-1931

Phone: (317) 334-1692

Fax: (317) 334-1693

More IN providers

Mailing address

2020 W 86th St

Indianapolis, IN 46260-1931

Registry dates

Enumerated: 2005-06-08
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bennett Desadier, M.D. — NPI 1972507879, Indianapolis, IN | NPI Central