Christian Provenza

Individual Active
NPI 1659906741
Critical Care Medicine (Internal Medicine) Physician Indianapolis, IN

Christian Provenza holds NPI 1659906741, with a primary taxonomy of critical care medicine (internal medicine) physician and a practice location in Indianapolis, IN. The number was issued on March 9, 2020 and the NPPES record was last updated on July 11, 2025. The record lists 2 taxonomy codes. 2 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X 01096646A (IN)
Emergency Medicine Physician 207P00000X 67438 (TN)

Practice locations

1120 West Michigan Street
Gatch Hall Office Cl 285
Indianapolis, IN 46202
Phone: (317) 278-0042
1265 Union Ave
Memphis, TN 38104-3415
Phone: (901) 516-7000
877 Jefferson Ave
Memphis, TN 38103-2807
Phone: (901) 545-7100

Local context

Active NPPES records list 90 providers with critical care medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 70 of them within 10 miles.

The same primary taxonomy is listed by 176 in Indiana and 7,319 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Nearby providers with the same primary taxonomy

Record history

Name on record
Christian Provenza
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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