# IR HALUM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396075982
- **Authorized official:** DR. RAMON GAYLON HALUM III MD (OWNER)
- **Authorized official phone:** (317) 254-3688

## Contact information

- **Practice address:** 5953 CALAIS CT, INDIANAPOLIS, IN 46220-6004
- **Practice address phone:** (317) 254-3688
- **Mailing address:** 5953 CALAIS CT, INDIANAPOLIS, IN 46220-6004
- **Mailing address phone:** (317) 254-3688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | 01060707A | IN | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 01/05/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200527080 | — | IN |