Individual
IRA K MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01049232A
IN
208000000X
Pediatrics Physician
Primary
01049232A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190039
BLUESHIELDREIDHOSP-EKG
IN
01
—
00000082698
ANTHEM
IN
01
—
200190250
MANAGED HEALTH SERVICES
IN
05
—
200190250
—
IN
05
—
2179495
—
OH
01
—
351265355
TAX ID
IN
Enumeration date
07/04/2006
Last updated
09/24/2025
Update your record
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