Individual
BETH E. INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3164
(765) 983-3260
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVS, RICHMOND, IN 47374-1157
(765) 983-3293
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01040915
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100465370
—
IN
Enumeration date
04/27/2006
Last updated
03/16/2022
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