Provider Demographics
NPI:1568661965
Name:LINDERMAN, RICHARD B (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:B
Last Name:LINDERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12188A N MERIDIAN ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4406
Mailing Address - Country:US
Mailing Address - Phone:317-848-5400
Mailing Address - Fax:317-848-9314
Practice Address - Street 1:12188A N MERIDIAN ST
Practice Address - Street 2:SUITE 115
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4406
Practice Address - Country:US
Practice Address - Phone:317-848-5400
Practice Address - Fax:317-848-9314
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01024839A208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000084320OtherANTHEM
IN085790AMedicare PIN
INE24667Medicare UPIN