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Individual

ROBERT J ALONSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-8800
Mailing address
545 BARNHILL DR, EH125, INDIANAPOLIS, IN 46202-5112
(317) 274-8800

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01028536A
IN
2084N0400X
Neurology Physician
Primary
01028536A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000333467
ANTHEM
05
100334090
IN
01
P00747951
RAILROAD MEDICARE PTAN
IN
Enumeration date
07/27/2006
Last updated
03/16/2025
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