Provider Demographics
NPI:1467452821
Name:SLOAN, RICHARD P (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:SLOAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1312 PROFESSIONAL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-8007
Mailing Address - Country:US
Mailing Address - Phone:812-491-6419
Mailing Address - Fax:812-491-6465
Practice Address - Street 1:350 W COLUMBIA ST
Practice Address - Street 2:SUITE 440
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1782
Practice Address - Country:US
Practice Address - Phone:812-602-5442
Practice Address - Fax:812-424-1254
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2016-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN1042836207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY392104OtherMEDICARE
KY64877640Medicaid
KY86205OtherCOVENTRY CARE
IN100368570Medicaid
IN390004296OtherRAILROAD MEDICARE
IN390004296OtherRAILROAD MEDICARE
KY86205OtherCOVENTRY CARE