Provider Demographics
NPI:1407845795
Name:GALSTIAN, ARTHUR A (MD, LLC)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:A
Last Name:GALSTIAN
Suffix:
Gender:M
Credentials:MD, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9240 N MERIDIAN ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1880
Mailing Address - Country:US
Mailing Address - Phone:317-582-1100
Mailing Address - Fax:317-582-1101
Practice Address - Street 1:9240 N MERIDIAN ST
Practice Address - Street 2:SUITE 180
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1880
Practice Address - Country:US
Practice Address - Phone:317-582-1100
Practice Address - Fax:317-582-1101
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01041570207V00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200052350BMedicaid
IN200052350BMedicaid
ING11553Medicare UPIN