Individual
DR. CHAD RYAN KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1821 NORTH SHADELAND, INDIANAPOLIS, IN 46219-9998
(317) 870-1581
(317) 870-1583
Mailing address
7615 DEAN RD, SUITE 281, INDIANAPOLIS, IN 46240-3635
(317) 357-8663
(317) 357-8842
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34.009017
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528245
ANTHEM
OH
01
—
000000768472
ANTHEM
IN
05
—
201060090
—
IN
05
—
2754667
—
OH
01
—
P01053745
RAILROAD MEDICARE
IN
Enumeration date
03/28/2007
Last updated
11/23/2020
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