# DR. IAN F GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629428859
- **Gender:** Man
- **Credential:** MD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2019020093 | MO | — |
| 207R00000X | Internal Medicine Physician | MD471156 | PA | — |
| 207RR0500X | Rheumatology Physician | 036163857 | IL | Yes |
| 207RR0500X | Rheumatology Physician | MT221320 | PA | Yes |
| 208M00000X | Hospitalist Physician | 2019020093 | MO | — |
| 208M00000X | Hospitalist Physician | MD471156 | PA | — |

## Other

- **Enumeration date:** 06/19/2016
- **Last updated:** 01/29/2026