Individual
DR. JAMES M PHELPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 715-9965
Mailing address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 328-5053
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01023967A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082126
ANTHEM-351158723
IN
01
—
000000492364
ANTHEM 203778927
IN
01
—
000667
SIHO-351158723
IN
01
—
001148
HEALTH ALLIANCE-351158723
IN
05
—
100374970
—
IN
01
—
300043166
RR MEDICARE-351158723
IN
01
—
Q0085578
CMOSHO351158723&352074727
IN
Enumeration date
12/13/2005
Last updated
10/03/2016
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