Provider Demographics
NPI:1629291489
Name:HAMILTON-BYRD, ELIZABETH LEE (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LEE
Last Name:HAMILTON-BYRD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3253 BRISBANE RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-2861
Mailing Address - Country:US
Mailing Address - Phone:317-293-4551
Mailing Address - Fax:
Practice Address - Street 1:2 N MERIDIAN ST
Practice Address - Street 2:SECTION 6A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-3021
Practice Address - Country:US
Practice Address - Phone:317-233-7542
Practice Address - Fax:317-233-7805
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01039714A2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine