Individual
DR. MICHAEL J DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8122 MADISON AVE, INDIANAPOLIS, IN 46227-6076
(317) 884-1752
(317) 884-1753
Mailing address
8122 MADISON AVE, INDIANAPOLIS, IN 46227-6076
(317) 884-1752
(317) 884-1753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01024942A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061394000
MAGELLAN
IN
05
—
100060160
—
IN
01
—
11348152
CAQH
IN
01
—
115484491
UNITED BEHAVIORAL HEALTH
IN
01
—
4363541
AETNA
IN
Enumeration date
07/07/2005
Last updated
02/22/2017
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