Individual
ELDRED HUGH MACDONELL JR.
Active
Individual
ELDRED HUGH MACDONELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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