Individual
GREGORY A MERCHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01041539A
IN
2085R0202X
Diagnostic Radiology Physician
1041539
IN
2085R0204X
Vascular & Interventional Radiology Physician
01041539A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109954
ANTHEM
IN
05
—
100320670A
—
IN
01
—
300059735
RAILROAD MEDICARE
IN
01
—
P00032760
RR MEDICARE PIN
—
01
—
P00032762
RR MEDICARE PIN
—
01
—
P00032763
RR MEDICARE PIN
—
01
—
P00033105
RR MEDICARE PIN
—
01
—
P00033108
RR MEDICARE PIN
—
01
—
P00033109
RR MEDICARE PIN
—
01
—
P00033110
RR MEDICARE PIN
—
01
—
P00033111
RR MEDICARE PIN
—
01
—
P00033112
RR MEDICARE PIN
—
01
—
P00033220
RR MEDICARE PIN
—
01
—
P00033221
RR MEDICARE PIN
—
01
—
P00033230
RR MEDICARE PIN
—
Enumeration date
09/08/2005
Last updated
01/13/2021
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