Individual
DR. RAYMOND VICTOR MELDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 N PARK AVE, INDIANAPOLIS, IN 46202-2608
(317) 431-1437
Mailing address
1515 N PARK AVE, INDIANAPOLIS, IN 46202-2608
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01040597A
IN
207RC0000X
Cardiovascular Disease Physician
01040597A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01040597A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100441810A
—
IN
01
—
P000861438
RAILROAD
IN
01
—
P00861438
RR MEDICARE PTAN
IN
01
—
P01212108
RR MEDICARE PTAN
IN
Enumeration date
02/14/2006
Last updated
04/26/2026
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