Individual
DR. GREGORY D. DIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 215, INDIANAPOLIS, IN 46260-2074
(317) 802-2000
(317) 802-3972
Mailing address
8450 NORTHWEST BLVD., INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01065218A
IN
207XX0801X
Orthopaedic Trauma Physician
Primary
01065218A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201007720
—
IN
Enumeration date
12/30/2007
Last updated
05/15/2024
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