KUHARIK, MICHAEL A (MD)

Provider Demographics

• NPI: 1457332843
• Name: KUHARIK, MICHAEL A (MD)
• Entity Type: Individual
• First Name: MICHAEL
• Middle Name: A
• Last Name: KUHARIK
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 9998 CROSSPOINT BLVD STE 200
• Mailing Address - City: INDIANAPOLIS
• Mailing Address - State: IN
• Mailing Address - Zip Code: 46256-3307
• Mailing Address - Country: US
• Mailing Address - Phone: 317-579-2150
• Mailing Address - Fax: 317-806-8296
• Practice Address - Street 1: 9998 CROSSPOINT BLVD STE 200
• Practice Address - City: INDIANAPOLIS
• Practice Address - State: IN
• Practice Address - Zip Code: 46256-3307
• Practice Address - Country: US
• Practice Address - Phone: 317-579-2150
• Practice Address - Fax: 317-806-8296
• Is Sole Proprietor?: No
• Enumeration Date: 2005-11-11
• Last Update Date: 2020-12-29

Provider Licenses

State	License ID	Taxonomies
IN	01035845A	2085R0204X, 2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology
No	2085R0204X	Allopathic & Osteopathic Physicians	Radiology	Vascular & Interventional Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IN	000000492352	Other	ANTHEM 203778927
IN	066819	Other	HEALTH ALLIANCE-351158723
IN	002887	Other	SIHO-351158723
IN	100369260	Medicaid
IN	000000540769	Other	ANTHEM
IN	000000082120	Other	ANTHEM-351158723
IN	003422	Other	SIHO-352047427
IN	300100765	Other	RR MEDICARE-351158723
IN	Q0084709	Other	351158723&352047427
IN	071706	Other	HEALTH ALLIANCE-352047427
IN	000000093025	Other	ANTHEM-352047427
IN	300092213	Other	RR MEDICARE-352047427
IN	222750II	Medicare PIN
	152690GG	Medicare PIN
	152410WW	Medicare PIN
IN	000000082120	Other	ANTHEM-351158723
IN	002887	Other	SIHO-351158723
IN	Q0084709	Other	351158723&352047427
IN	300100765	Other	RR MEDICARE-351158723
IN	071706	Other	HEALTH ALLIANCE-352047427
IN	100369260	Medicaid