Individual
DR. RHONDA GOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5128 E STOP 11 RD STE 38, INDIANAPOLIS, IN 46237-6338
(317) 689-0400
(317) 458-1917
Mailing address
5128 E STOP 11 RD STE 38, INDIANAPOLIS, IN 46237-6338
(317) 689-0400
(317) 458-1917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057938A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01057938A
STATE MEDICAL LICENSE
IN
01
—
01057938B
STATE CSR
IN
01
—
BG9127817
DEA NUMBER
—
Enumeration date
03/09/2006
Last updated
09/15/2023
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