Individual
DR. RUSSELL JAMES PIKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 S PINE ST JMB 2ND FLOOR, SEYMOUR, IN 47274
(812) 523-4860
(812) 523-4839
Mailing address
225 S PINE ST JMB 2ND FLOOR, SEYMOUR, IN 47274
(812) 523-4860
(812) 523-4839
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01040449A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000092496
ANTHEM
IN
05
—
100342730
—
IN
Enumeration date
08/13/2006
Last updated
09/09/2024
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