Individual
DR. ROBERT LAWRENCE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 N SENATE AVE, INDIANAPOLIS, IN 46202-3763
(317) 432-3134
Mailing address
5211 PRIMROSE AVE, INDIANAPOLIS, IN 46220-3314
(317) 251-8206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11013296A
IN
2085R0204X
Vascular & Interventional Radiology Physician
01066161A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201061450
—
IN
01
—
P01085957
RR MEDICARE PIN
IN
Enumeration date
06/22/2007
Last updated
11/09/2012
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