MEDICARE: DR. RAMON S. DUNKIN 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	207RP1001X	Pulmonary Disease Physician	01017701A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CI0473	OTHER		RAILROAD MEDICARE GROUP
3	111762555	OTHER	IN	RAIL ROAD MEDICARE
4	111762555	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	000000081335	OTHER	IN	BC/BS MEMORIAL CLINIC

General Provider Information

NPI Number	:	1144222530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMON S. DUNKIN M.D.

Provider Business Mailing Address
First Line	:	3266 N MERIDIAN ST
Second Line	:	SUITE 900
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5846
Country	:	US
Telephone Number	:	317-924-8208
Fax Number	:	317-924-8348

Provider Business Practice Location Address
First Line	:	3266 N MERIDIAN ST
Second Line	:	SUITE 900
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5846
Country	:	US
Telephone Number	:	317-924-8315
Fax Number	:	317-924-8324

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	12/04/2008

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Directions to “ DR. RAMON S. DUNKIN M.D.” Practice Location

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