Gunderman, Richard Brian

Gunderman, Richard Brian 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 / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Gunderman, Richard Brian can be contacted via phone (317) 962-6793.

Contact Information

Primary practice address
1701 N Senate Blvd Room 1204A Indianapolis IN 46202-1239
Phone: (317) 962-6793
Fax: (317) 962-8281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01046685 Indiana
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 01046685 Indiana

Profile Details

NPI number 1760420814
LBN Legal business name Gunderman, Richard Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 29th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760420814 NPPES
Indiana MEDICAID 200181870

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