Fry, Edward Ta
Fry, Edward Ta is an individual health care provider with primary practice located at 10590 N Meridian St , Indianapolis IN 46290-1028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Fry, Edward Ta can be contacted via phone (317) 338-6666.Contact Information
Primary practice address
10590 N Meridian St
Indianapolis IN 46290-1028
Phone: (317) 338-6666
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01039359A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01039359A | Indiana |
Profile Details
| NPI number | 1710951181 |
|---|---|
| LBN Legal business name | Fry, Edward Ta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jun 22nd, 2022 - about 2 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 | 1710951181 | NPPES |
| Indiana | MEDICAID | 100370030 |
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