Individual
GRANT H GILROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1633 N CAPITOL AVE, STE 301, INDIANAPOLIS, IN 46202-1261
(317) 962-3400
(317) 963-1167
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004032A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
02004032A
IN
207RP1001X
Pulmonary Disease Physician
02004032A
IN
208M00000X
Hospitalist Physician
02004032A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001036027
ANTHEM PTAN
IN
05
—
200984010
—
IN
05
—
201088010
—
IN
Enumeration date
06/02/2010
Last updated
03/08/2025
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