Individual
ERIC HAL MESHULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5501 W BETHEL AVE STE A, MUNCIE, IN 47304-8513
(765) 751-5330
(317) 222-2485
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001225A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
016005803
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
07001225A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005803
—
IL
01
—
07001225A
STATE IN
—
01
—
1104206146
ANTHEM PTAN
IN
05
—
300093645
—
IN
Enumeration date
06/19/2013
Last updated
01/06/2025
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