Christian Provenza
Christian Provenza is an Emergency Medicine Physician in Indianapolis, Indiana. Practices as a sole proprietor and works from 3 locations. Licensed in Indiana and Tennessee.
- Licensed in
- IN, TN
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1120 W Michigan Street Gatch Hall Ofc CL 285Indianapolis, IN 46202
Phone: (317) 278-0042
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 877 Jefferson Ave, Memphis, TN 38103-2807 — (901) 545-7100
- 1265 Union Ave, Memphis, TN 38104-3415 — (901) 516-7000
Specialties & licences
| Critical Care Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RC0200X · Licence 01096646A (IN) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 67438 (TN) |
Record details
| NPI number | 1659906741 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2020 |
| Last updated in NPPES | July 11, 2025 |
| Certification date | June 27, 2025 |
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