Ross, Michael M

Ross, Michael M is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 1134, Indianapolis IN 46202-5109. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Ross, Michael M can be contacted via phone (317) 944-8906.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 1134 Indianapolis IN 46202-5109
Phone: (317) 944-8906
Fax: (317) 944-9330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X DR.0054160 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009-01496 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X DR.0054160 Colorado
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 01069472A Indiana

Profile Details

NPI number 1780868786
LBN Legal business name Ross, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Mar 16th, 2021 - about 4 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 1780868786 NPPES
Indiana MEDICAID 300034770

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