Individual
DR. ROBERT TODD RUDICEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8890 E 116TH ST, SUITE 260, FISHERS, IN 46038-2856
(317) 621-8953
(317) 621-4456
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
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
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