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NPI Code Detail

MEDICARE: ERIKA J UGIANSKIS MD

MEDICARE: ERIKA J UGIANSKIS 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 Physician036094584IL
22085R0202XDiagnostic Radiology Physician01058406AIN
32085R0204XVascular & Interventional Radiology Physician036094584IL
42085R0204XVascular & Interventional Radiology Physician01058406AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000667854OTHERINANTHEM PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184608929
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA J UGIANSKIS MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 GREENBUSH ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2477
Country : US
Telephone Number : 765-448-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 11/17/2023

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