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NPI Code Detail

MEDICARE: RYAN P CORDES DO

MEDICARE: RYAN P CORDES DO
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
1390200000XStudent in an Organized Health Care Education/Training Program34.015708OH
2207P00000XEmergency Medicine Physician02007289AIN
3207P00000XEmergency Medicine Physician34.015708OH

General Provider Information

NPI Number : 1710449715
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN P CORDES DO
Provider Business Mailing Address
First Line : 751 FAIRWAY DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-4156
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5100 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1607
Country : US
Telephone Number : 614-544-1047
Fax Number : 614-544-1028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2019
Last Update Date : 05/17/2024

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Directions to “ RYAN P CORDES DO” Practice Location

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