Individual
ROBYN K GOSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5550 S EAST ST, STE.I, INDIANAPOLIS, IN 46227-1979
(317) 780-4080
(317) 780-4088
Mailing address
950 N. MERIDIAN ST., STE. 500, PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46204-3908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01026018A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086777
ANTHEM
IN
05
—
100226530
—
IN
Enumeration date
04/26/2006
Last updated
04/19/2012
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