Cohen, Mervyn D
Cohen, Mervyn D is an individual health care provider with primary practice located at 1701 N Senate Blvd Room 1204A, Indianapolis IN 46202-1239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Cohen, Mervyn D can be contacted via phone (317) 962-5740.Contact Information
Primary practice address
1701 N Senate Blvd Room 1204A
Indianapolis IN 46202-1239
Phone: (317) 962-5740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 01031346 | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01031346 | Indiana |
Profile Details
| NPI number | 1477591931 |
|---|---|
| LBN Legal business name | Cohen, Mervyn D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Feb 15th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477591931 | NPPES |
| Indiana | MEDICAID | 100349050 | |
| Indiana | Other | 300023464 |
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