MEDICARE: LUDMILA O TRAMMELL 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
1	207Q00000X	Family Medicine Physician	01026388A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00844450	OTHER	IN	RAILROAD MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1497796106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUDMILA O TRAMMELL 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	:	6845 E US HIGHWAY 36
Second Line	:	STE 600
City	:	AVON
State	:	IN
Zip	:	46123-8123
Country	:	US
Telephone Number	:	317-272-4920
Fax Number	:	317-272-4906

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

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	11/20/2020

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Directions to “ LUDMILA O TRAMMELL MD” Practice Location

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