MEDICARE: RICHARD BLOCH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	01024845	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000083033	OTHER	IN	ANTHEM NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093712739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD BLOCH M.D.

Provider Business Mailing Address
First Line	:	1801 N SENATE BLVD
Second Line	:	SUITE 355
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1228
Country	:	US
Telephone Number	:	317-924-8425
Fax Number	:	317-924-8424

Provider Business Practice Location Address
First Line	:	1801 N SENATE BLVD
Second Line	:	SUITE 355
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1228
Country	:	US
Telephone Number	:	317-924-8425
Fax Number	:	317-924-8424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	02/23/2016

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Directions to “ RICHARD BLOCH M.D.” Practice Location

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