Meldahl, Raymond Victor

Meldahl, Raymond Victor is an individual health care provider with primary practice located at 1515 N Park Ave , Indianapolis IN 46202-2608. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Meldahl, Raymond Victor can be contacted via phone (317) 431-1437.

Contact Information

Primary practice address
1515 N Park Ave Indianapolis IN 46202-2608
Phone: (317) 431-1437
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01040597A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01040597A Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01040597A Indiana

Profile Details

NPI number 1669446977
LBN Legal business name Meldahl, Raymond Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 15th, 2019 - about 5 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 1669446977 NPPES
Indiana Other P00861438 RR MEDICARE PTAN
Indiana MEDICAID 100441810A RR MEDICARE PTAN
Indiana Other P000861438 RR MEDICARE PTAN
Indiana Other P01212108 RR MEDICARE PTAN

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