Individual
BENEDICTO L REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01043216A
IN
2085R0202X
Diagnostic Radiology Physician
1043216
IN
2085R0204X
Vascular & Interventional Radiology Physician
01043216A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109943
ANTHEM
IN
05
—
200142070A
—
IN
01
—
300109485
RAILROAD MEDICARE
IN
01
—
822400W
MEDICARE PTAN
IN
01
—
P00018308
RR MEDICARE PIN
—
01
—
P00018311
RR MEDICARE PIN
—
01
—
P00018312
RR MEDICARE PIN
—
01
—
P00018313
RR MEDICARE PIN
—
01
—
P00018314
RR MEDICARE PIN
—
01
—
P00018395
RR MEDICARE PIN
—
01
—
P00018401
RR MEDICARE PIN
—
01
—
P00018580
RR MEDICARE PIN
—
01
—
P00018588
RR MEDICARE PIN
—
01
—
P00021420
RR MEDICARE PIN
—
01
—
P00023111
RR MEDICARE PIN
—
01
—
P00024405
RR MEDICARE PIN
—
Enumeration date
09/19/2005
Last updated
01/13/2021
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