Provider Demographics
NPI:1568434918
Name:DUGAN, WILLIAM MILLER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MILLER
Last Name:DUGAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8091 TOWNSHIP LINE ROAD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260
Mailing Address - Country:US
Mailing Address - Phone:317-802-9900
Mailing Address - Fax:317-802-9911
Practice Address - Street 1:8091 TOWNSHIP LINE ROAD
Practice Address - Street 2:SUITE 109
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260
Practice Address - Country:US
Practice Address - Phone:317-802-9900
Practice Address - Fax:317-802-9911
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01020096A207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00456524OtherRR MEDICARE
IN2046772OtherCIGNA
IN4128294OtherAETNA
IN830002532OtherRR MEDICARE (ICCC)
INP00759322OtherRR MEDICARE (CLARIAN)
IN000000475161OtherANTHEM
IN100145620Medicaid
IN114620AMedicare PIN
IN256170BMedicare PIN
IN217760BMedicare PIN
INM400037541Medicare PIN
INP00456524OtherRR MEDICARE
IN4128294OtherAETNA