Individual
ERIKA J UGIANSKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01058406A
IN
2085R0202X
Diagnostic Radiology Physician
036094584
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01058406A
IN
2085R0204X
Vascular & Interventional Radiology Physician
036094584
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000667854
ANTHEM PROVIDER NUMBER
IN
05
—
036094584
—
IL
05
—
200296080
—
IN
Enumeration date
12/05/2005
Last updated
11/17/2023
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