Individual
IRA K MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6002 E 38TH ST, INDIANAPOLIS, IN 46226-5614
(317) 880-6002
(317) 880-0417
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
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
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