MEDICARE: RICHARD H RHODES 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	01035693A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01192142	OTHER	IN	RR MEDICARE PTAN

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

General Provider Information

NPI Number	:	1881698272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD H RHODES M.D.

Provider Business Mailing Address
First Line	:	9025 ADMIRALS POINTE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-9050
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9025 ADMIRALS POINTE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-9050
Country	:	US
Telephone Number	:	317-823-9034
Fax Number	:	317-621-5678

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	01/27/2020

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