Individual
ELDRED HUGH MACDONELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N. RITTER AVE., SUITE 370, INDIANAPOLIS, IN 46219-3098
(317) 355-1144
(317) 355-1155
Mailing address
12031 EDGEFIELD DR, FISHERS, IN 46037-3826
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01042438A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000793547
ANTHEM
IN
05
—
100474160
—
IN
05
—
100474160A
—
IN
01
—
P01157058
MEDICARE RAILROAD
IN
Enumeration date
03/03/2006
Last updated
01/05/2024
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