Individual
DR. ROBERT LAWRENCE REED II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE AVE, ROOM B240, CLARIAN METHODIST HOSPITAL, INDIANAPOLIS, IN 46202-5306
(317) 962-5339
(317) 962-8028
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01067300A
IN
208600000X
Surgery Physician
36098271
IL
2086S0102X
Surgical Critical Care Physician
Primary
01067300A
IN
2086S0102X
Surgical Critical Care Physician
36098271
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000636165
ANTHEM PIN
IN
05
—
200853250
—
IN
Enumeration date
02/28/2006
Last updated
02/20/2014
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