MEDICARE: RODNEY J.S. DEATON, M.D., P.C.

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1649398827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RODNEY J.S. DEATON, M.D., P.C.

Provider Business Mailing Address
First Line	:	333 N PENNSYLVANIA ST
Second Line	:	SUITE 612
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1817
Country	:	US
Telephone Number	:	317-639-6312
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 N PENNSYLVANIA ST
Second Line	:	SUITE 612
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1817
Country	:	US
Telephone Number	:	317-639-6312
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RODNEY J.S. DEATON
Credential	:	M.D.
Telephone Number	:	317-639-6312

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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