Male or Other

David Goldenberg M.D.

Diagnostic Radiology Physician in Indianapolis, IN(View on Map)

Full Name

David Goldenberg M.D.

NPI Number

1063454171

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/12/2006

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

01023645

Contact
Information

Purpose

Mailing
Location

Address

6626E 75TH ST 500
3630 GUION RD

City

Indianapolis
Indianapolis

State

IN
IN

Postal Code

46250-2890
46222-1616

Country

US
US

Telephone Number

N/A
(317) 920-7139

Identifiers

Identifier

100358570
P00176834
P01512422

Identifier State

IN
IN
IN

Identifier Issuer

Unknown
RAILROAD MEDICARE
RAILROAD PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/12/2016

Provider Address

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