Individual
RAYMOND GERARD PIEDMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-3450
Mailing address
1100 SOUTHFIELD DR, STE 1370, PLAINFIELD, IN 46168-4300
(317) 745-4451
(317) 718-6740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01050640
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354577
ANTHEM PROVIDER NO.
IN
01
—
01050640
STATE LICENSE NO.
IN
05
—
200233140
—
IN
01
—
930088508
RAILROAD MEDICARE PIN
IN
Enumeration date
07/21/2005
Last updated
03/31/2021
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