Provider Demographics
NPI:1902890999
Name:ESPER, EDUARDO (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:ESPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3903 S 7TH ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-5710
Mailing Address - Country:US
Mailing Address - Phone:812-232-2708
Mailing Address - Fax:812-235-0687
Practice Address - Street 1:3903 S 7TH ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-5710
Practice Address - Country:US
Practice Address - Phone:812-232-2708
Practice Address - Fax:812-235-0687
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01057522A2086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200454390AMedicaid
INP00264894OtherRAILROAD MEDICARE
IL$$$$$$$$$Medicaid
INE69984Medicare UPIN
IN941090T5Medicare PIN