Individual
RYAN B GREENE
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) 806-8260
(317) 806-8296
Mailing address
121 S SAINT LOUIS BLVD, SOUTH BEND, IN 46617-2924
(574) 233-3123
(574) 233-3125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01070846A
IN
2085R0202X
Diagnostic Radiology Physician
2171998
ID
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01070846A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201071020
—
IN
Enumeration date
05/10/2007
Last updated
01/20/2026
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