Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01059735A | IN |
N | 207X00000X | Orthopaedic Surgeon | 046288 | CT |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 01059735 | IN |
NPI | 1356325187 |
---|---|
Provider Name | Dr. Robert Meneghini |
First Address | Indianapolis, IN 46204-3908 |
Second Address | Indianapolis, IN 46290-1018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 31/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000373182 | BCBS (01) | IN |
200985760 | (05) | IN |
2555480 | UHC (01) | IN |
7262751 | AETNA (01) | IN |
I19619 | (02) | IN |
P01002398 | RAILROAD MEDICARE PTAN (01) | IN |