Individual
RULONG REN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 935-8802
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01058125A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000587875
ANTHEM
IN
05
—
200830420A
—
IN
Enumeration date
07/23/2006
Last updated
04/04/2023
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