Individual
DR. JANALYN P FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
01040352A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082135
ANTHEM-351158723
IN
01
—
000000492344
ANTHEM 203778927
IN
01
—
002118
SIHO-351158723
IN
01
—
052078
HEALTH ALLIANCE-351158723
IN
05
—
100369270
—
IN
01
—
300101570
RR MEDICARE-351158723
IN
01
—
Q0072105
CMOSHO351158723&352047427
IN
Enumeration date
10/24/2005
Last updated
10/03/2016
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