Individual
MEREDITH GOLOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
702 BARNHILL DR, INDIANAPOLIS, IN 46202-5128
(317) 274-8800
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
01056162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229587
ANTHEM
IN
05
—
200389700
—
IN
Enumeration date
07/25/2006
Last updated
01/19/2021
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