Individual
VICTOR N EGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-6700
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01035165
IN
207X00000X
Orthopaedic Surgery Physician
Primary
01035165A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000764779
ANTHEM
IN
05
—
100201040
—
IN
05
—
200519540A
—
IN
01
—
P01157060
MEDICARE RAILROAD
IN
Enumeration date
02/13/2006
Last updated
07/31/2024
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