| Doctor Name: | PHILIP DEAN ZANETEAS |
| NPI Number: | 1326091364 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., M.D. |
| License Number: | 01040424 |
| Business Practice Address: | 9240 N Meridian St Suite 350 Indianapolis, IN - 462601880 |
| Business Phone Number: | 3178480800 |
| Business Fax Number: | 3178480804 |
| Mailing Address: | Po Box 660264, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462660264 |
| Phone Number: | 3177700055 |
| Fax Number: | 3177700066 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 01040424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |