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Individual

ROBERT M MENEGHINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 W 103RD ST, STE 1400, INDIANAPOLIS, IN 46290-1018
(317) 688-5980
(317) 566-2736
Mailing address
950 N MERIDIAN ST, STE 500, INDIANAPOLIS, IN 46204-3908
(317) 962-4944
(317) 962-4950

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01059735A
IN
207X00000X
Orthopaedic Surgery Physician
046288
CT
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
01059735
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000373182
BCBS
IN
05
200985760
IN
01
2555480
UHC
IN
01
7262751
AETNA
IN
01
M400021360
MEDICARE PTAN
IN
01
P01002398
RAILROAD MEDICARE PTAN
IN
Enumeration date
12/05/2005
Last updated
01/31/2024
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