Individual
RYAN R HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
8414 NAAB RD, INDIANAPOLIS, IN 46260-1972
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01065145A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000568628
ANTHEM
IN
05
—
200984360
—
IN
Enumeration date
03/22/2007
Last updated
09/19/2024
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