Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101016077 | MI |
NPI | 1871715011 |
---|---|
Provider Name | Dr. Peter Nicholas Rigas II |
First Address | Indianapolis, IN 46268 |
Second Address | Carmel, IN 46032-4406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 06/01/2010 |