Individual
GREGORY J UNFRIED
Active
Individual
GREGORY J UNFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01036807A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082152
ANTHEM
IN
01
—
01036807B
CSR
IN
05
—
100366300
—
IN
01
—
10786795
CAQH
IN
01
—
260034380
ANTHEM RAILROAD
IN
Enumeration date
08/14/2006
Last updated
03/06/2025
Update your record
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