Provider Demographics
NPI:1821043258
Name:HARNED, E. MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:E.
Middle Name:MICHAEL
Last Name:HARNED
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 1:714 N SENATE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3297
Mailing Address - Country:US
Mailing Address - Phone:317-963-0156
Mailing Address - Fax:
Practice Address - Street 1:1701 N SENATE BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1239
Practice Address - Country:US
Practice Address - Phone:317-962-5740
Practice Address - Fax:317-962-8281
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01059926A2085R0202X, 2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200521060Medicaid
IN000000514421OtherANTHEM
INP00414326OtherMEDICARE RAILROAD
INP00414326OtherMEDICARE RAILROAD
IN000000514421OtherANTHEM
INF32639Medicare UPIN
IN200521060Medicaid