Provider Demographics
NPI:1861468498
Name:FLOYD, RICHARD D (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:FLOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3850 SHORE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5621
Mailing Address - Country:US
Mailing Address - Phone:317-297-3774
Mailing Address - Fax:317-298-8301
Practice Address - Street 1:3850 SHORE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-5621
Practice Address - Country:US
Practice Address - Phone:317-297-3774
Practice Address - Fax:317-298-8301
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01025347A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
INC24309Medicare UPIN
IN677690KKMedicare PIN
IN088250BMedicare ID - Type Unspecified