Individual
DR. ROBERT TODD RUDICEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01050364A
IN
208000000X
Pediatrics Physician
01050364B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092060
ANTHEM HEALTH PLAN
IN
05
—
201103750
—
IN
01
—
7771014
AETNA HEALTH PLAN
IN
01
—
8349601001
CIGNA HEALTHCARE
IN
01
—
P01588241
RR MEDICARE
IN
Enumeration date
11/03/2005
Last updated
11/27/2023
Update your record
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