Provider Demographics
NPI:1326213109
Name:STEVEN K AHLFELD MD, PC
Entity type:Organization
Organization Name:STEVEN K AHLFELD MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:AHLFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-575-6515
Mailing Address - Street 1:9302 N MERIDIAN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1818
Mailing Address - Country:US
Mailing Address - Phone:317-575-6515
Mailing Address - Fax:
Practice Address - Street 1:9302 N MERIDIAN ST STE 110
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1818
Practice Address - Country:US
Practice Address - Phone:317-575-6515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN256560Medicare PIN