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NPI Code Detail

MEDICARE: RICHARD PASSEY MD

MEDICARE: RICHARD PASSEY 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
1207P00000XEmergency Medicine Physician01053725IN
2207QG0300XGeriatric Medicine (Family Medicine) Physician01053725AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770667396
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD PASSEY MD
Provider Business Mailing Address
First Line : 8780 PURDUE ROADSUITE 7
Second Line : SUITE 7
City : INDIANAPOLIS
State : IN
Zip : 46268
Country : US
Telephone Number : 317-471-8701
Fax Number : 317-471-8702
Provider Business Practice Location Address
First Line : 8780 PURDUE RD
Second Line : SUITE 7
City : INDIANAPOLIS
State : IN
Zip : 46268-6129
Country : US
Telephone Number : 317-471-8701
Fax Number : 317-471-8702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 11/04/2009

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Directions to “ RICHARD PASSEY MD” Practice Location

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