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NPI Code Detail

MEDICARE: DR. ROBERT E MEHL JR. MD

MEDICARE: DR. ROBERT E MEHL JR. MD
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
12085R0202XDiagnostic Radiology Physician01037117AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00414275OTHERINMEDICARE RAILROAD
2P01282456OTHERINMMS MEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3000000523946OTHERINANTHEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952340754
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT E MEHL JR. MD
Provider Business Mailing Address
First Line : 3524 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4486
Country : US
Telephone Number : 317-925-0653
Fax Number : 317-925-0774
Provider Business Practice Location Address
First Line : 3524 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4486
Country : US
Telephone Number : 317-925-0653
Fax Number : 317-925-0774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 02/12/2026

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