Most Relevant Information
Provider Data
| NPI Number: | 1003496571 |
| Provider Name: | MADISON OTT MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | LL86159 |
Most Important Dates
| Enumeration Date: | 04/09/2021 |
| Last Updated: | 06/08/2022 |
Provider Practice Location
1120 W MICHIGAN ST # CL630
INDIANAPOLIS
IN
462025209
Practice Location Phone/Fax
| Phone: | 3172782686 |
| Fax: |
Provider Mailing Location
355 W 16TH ST
INDIANAPOLIS
IN
462022207
Provider Mailing Phone/Fax
| Phone: | 3179637533 |
| Fax: | 3179637533 |
Suggested EMR
Psychiatry EMR