Individual
DR. RAYMOND J GOTANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01055908A
IN
208M00000X
Hospitalist Physician
Primary
01055908A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200383310
—
IN
Enumeration date
05/17/2006
Last updated
05/10/2024
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