Roodman, Garson David
Roodman, Garson David is an individual health care provider with primary practice located at 550 University Blvd , Indianapolis IN 46202-5149. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Roodman, Garson David can be contacted via phone (317) 944-8660.Contact Information
Primary practice address
550 University Blvd
Indianapolis IN 46202-5149
Phone: (317) 944-8660
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD073272L | Pennsylvania |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 01070545A | Indiana |
Profile Details
NPI number | 1255306684 |
---|---|
LBN Legal business name | Roodman, Garson David |
Credentials | MD,PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2006 |
Last updated | Jan 6th, 2016 - about 8 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 | 1255306684 | NPPES |
Pennsylvania | MEDICAID | 001843230 | |
Pennsylvania | MEDICAID | 201045180 |
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