Individual
DR. RYAN PHILLIP MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2560 N. SHADELAND AVE, SUITE A, INDIANAPOLIS, IN 46219-1706
(317) 275-8072
(317) 275-8018
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01060350A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525389
ANTHEM
IN
01
—
11-00722
MEDICA
IN
05
—
200859900
—
IN
01
—
I73432
UPIN
IN
01
—
P00402869
RR MEDICARE
IN
Enumeration date
12/15/2006
Last updated
03/31/2015
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