Individual
DR. STEVEN ALAN SEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1810 BROAD RIPPLE AVE, SUITE 1, INDIANAPOLIS, IN 46220-2357
(317) 251-8550
(317) 251-8611
Mailing address
1810 BROAD RIPPLE AVE, SUITE 1, INDIANAPOLIS, IN 46220-2357
(317) 251-8550
(317) 251-8611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031178
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080044688
MEDICARE RR PROVIDER NUMBER
IN
05
—
100277950
—
IN
Enumeration date
08/25/2005
Last updated
05/27/2011
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