Provider Demographics
NPI:1417458225
Name:ARTHUR GALSTIAN MD LLC
Entity Type:Organization
Organization Name:ARTHUR GALSTIAN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:GALSTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-582-1100
Mailing Address - Street 1:9240 N MERIDIAN ST STE 180
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2065
Mailing Address - Country:US
Mailing Address - Phone:317-582-1100
Mailing Address - Fax:317-582-1101
Practice Address - Street 1:9240 N MERIDIAN ST STE 180
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2065
Practice Address - Country:US
Practice Address - Phone:317-582-1100
Practice Address - Fax:317-582-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01041570207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200052350BMedicaid