MEDICARE: MR. RAYMOND M HARWOOD 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	207RX0202X	Medical Oncology Physician	01036612	IN

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	:	1588663983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAYMOND M HARWOOD MD

Provider Business Mailing Address
First Line	:	12062 HOBBY HORSE DR
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-6330
Country	:	US
Telephone Number	:	317-566-8191
Fax Number	:

Provider Business Practice Location Address
First Line	:	8301 HARCOURT RD
Second Line	:	STE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-2081
Country	:	US
Telephone Number	:	317-415-6600
Fax Number	:	317-415-6649

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	12/15/2020

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