Individual
DR. JOHN ELIADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE, MUNCIE, IN 47303
(765) 284-7703
(765) 284-6838
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
IN01030028
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100105640A
—
IN
01
—
P01120508
RAILROAD MEDICARE
IN
Enumeration date
02/22/2006
Last updated
12/30/2020
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