Individual
MATEUSZ OPYRCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086985A
IN
207R00000X
Internal Medicine Physician
2019033210
MO
207RH0003X
Hematology & Oncology Physician
Primary
01086985A
IN
207RX0202X
Medical Oncology Physician
01086985A
IN
207RX0202X
Medical Oncology Physician
2019033210
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001631331
ANTHEM PTAN
IN
05
—
200075679
—
MO
05
—
300058419
—
IN
Enumeration date
06/12/2007
Last updated
03/15/2025
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