Provider Demographics
NPI:1427025592
Name:SLOAN, ROBERT B JR (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
Last Name:SLOAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 N RITTER AVE
Practice Address - Street 2:STE #479
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3050
Practice Address - Country:US
Practice Address - Phone:317-355-1470
Practice Address - Fax:317-355-1475
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01059582A207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01152201OtherRAILROAD MEDICARE
IN000000764470OtherANTHEM
IN200851750Medicaid
IN7704810OtherAETNA
INM400072160Medicare PIN
IN7704810OtherAETNA