Individual
LOREN ROOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5166
(317) 880-3900
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01041040A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112269
ANTHEM
IN
05
—
200059650
—
IN
Enumeration date
08/30/2006
Last updated
02/03/2021
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