Individual
MS. MEGAN ASHLEY COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-4681
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01086465A
IN
208600000X
Surgery Physician
4301098975
MI
2086S0120X
Pediatric Surgery Physician
Primary
01086465A
IN
2086S0120X
Pediatric Surgery Physician
S9281
TX
390200000X
Student in an Organized Health Care Education/Training Program
4301098975
MI
390200000X
Student in an Organized Health Care Education/Training Program
BP10065783
TX
Other
Enumeration date
06/14/2011
Last updated
09/24/2021
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