Individual
JUAN NICOLAS USECHE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD RM 641, INDIANAPOLIS, IN 46202-5149
(317) 274-9884
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
11014539A
IN
2085N0700X
Neuroradiology Physician
Primary
01085242A
IN
Other
Enumeration date
06/27/2008
Last updated
02/18/2021
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