Provider Demographics
NPI:1275567729
Name:ULM, JAMES D (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:ULM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:705 RILEY HOSPITAL DR
Mailing Address - Street 2:SUITE 0860
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5128
Mailing Address - Country:US
Mailing Address - Phone:317-948-3226
Mailing Address - Fax:317-944-2443
Practice Address - Street 1:705 RILEY HOSPITAL DR
Practice Address - Street 2:SUITE 0860
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5128
Practice Address - Country:US
Practice Address - Phone:317-948-3226
Practice Address - Fax:317-944-2443
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01026393A207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100338650Medicaid
IN037690ZMedicare PIN
IN100338650Medicaid
IN063220SMedicare ID - Type Unspecified