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Individual

DR. ERIC S ORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
550 UNIVERSITY BLVD STE 1710, INDIANAPOLIS, IN 46202-5149
(317) 944-0980
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01072095A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301087889
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201145580
IN
01
P01339690
RAILROAD MEDICARE
IN
Enumeration date
03/29/2007
Last updated
03/16/2025
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