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Individual

BERT H O'NEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7979 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2042
(317) 621-4300
(317) 621-4301
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
01073106A
IN
207RH0003X
Hematology & Oncology Physician
01073106A
IN
207RH0003X
Hematology & Oncology Physician
200101108
NC
207RX0202X
Medical Oncology Physician
Primary
01073106A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200101108
NORTH CAROLINA MEDICAL BOARD LICENSE NUMBER
NC
05
201183410
IN
05
89129WU
NC
01
P01339697
RAILROAD MEDICARE
IN
Enumeration date
12/12/2006
Last updated
09/06/2023
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