Individual
THOMAS H LEDYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5539
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01044027A
IN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
01044027A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000642510
ANTHEM
IN
05
—
100369630
—
IN
01
—
7444620
AETNA
IN
Enumeration date
08/01/2006
Last updated
11/27/2023
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