Individual
RICHARD L SCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7340 SHADELAND STATION, SUITE 200, INDIANAPOLIS, IN 46256-3980
(317) 579-2150
(317) 579-2130
Mailing address
7340 SHADELAND STATION, SUITE 200, INDIANAPOLIS, IN 46256-3980
(317) 579-2150
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01030485A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
1030485
IN
2085R0204X
Vascular & Interventional Radiology Physician
01030485A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076156
ANTHEM
IN
05
—
100320770A
—
IN
01
—
300027987
RAILROAD MEDICARE
IN
01
—
300138600
RR MEDICARE PINS
—
01
—
P00023644
RR MEDICARE PINS
—
01
—
P00024065
RR MEDICARE PINS
—
01
—
P00024067
RR MEDICARE PINS
—
01
—
P00024410
RR MEDICARE PINS
—
01
—
P00024411
RR MEDICARE PINS
—
01
—
P00024412
RR MEDICARE PINS
—
01
—
P00024723
RR MEDICARE PINS
—
01
—
P00024724
RR MEDICARE PINS
—
01
—
P00024728
RR MEDICARE PINS
—
01
—
P0023646
RR MEDICARE PINS
—
Enumeration date
09/14/2005
Last updated
05/06/2015
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