Provider Demographics
NPI:1447263850
Name:HARP, DEBRA JEAN (MD)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:JEAN
Last Name:HARP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10330 N MERIDIAN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2101 JACKSON ST
Practice Address - Street 2:SUITE 011
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-4388
Practice Address - Country:US
Practice Address - Phone:765-608-2630
Practice Address - Fax:765-608-2631
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01052956A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INDC3600OtherRAILROAD GROUP
IN200332890Medicaid
INP00724947OtherRAILROAD INDIVIDUAL
IN01052956BOtherCSR
IN01052956BOtherCSR
INBH6959158OtherDEA
IN200332890Medicaid
IN220620G11Medicare PIN
IN01052956BOtherCSR
INH51409Medicare UPIN