Individual
RICHARD C ZELLARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-2524
Mailing address
250 N SHADELAND AVE, SUITE 130- PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(410) 502-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01075189A
IN
2085R0001X
Radiation Oncology Physician
D55742
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201286330
—
IN
05
—
845001300
—
MD
Enumeration date
06/25/2006
Last updated
03/23/2016
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