Individual
EDWARD DOYLE SARA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6401
(317) 715-6454
Mailing address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01069579A
IN
2085R0202X
Diagnostic Radiology Physician
4301088494
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201029900
—
IN
01
—
P00966877
RAILROAD MEDICARE
IN
Enumeration date
06/01/2007
Last updated
10/28/2011
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