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Individual
ERIC HAL MESHULAM
Active
Individual
ERIC HAL MESHULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001225A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
016005803
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
07001225A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005803
—
IL
01
—
07001225A
STATE IN
—
01
—
1104206146
ANTHEM PTAN
IN
05
—
300093645
—
IN
Enumeration date
06/19/2013
Last updated
01/06/2025
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