Individual
RICHARD LEE HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01042809A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
G87256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000491069
ANTHEM 351158723
IN
01
—
000000492350
ANTHEM 203778927
IN
01
—
004020
SIHO 351158723
IN
05
—
200149430
—
IN
01
—
Q0341662
CMOSHO351158723&352047427
IN
Enumeration date
07/20/2006
Last updated
04/09/2024
Update your record
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