Provider Demographics
NPI:1144222530
Name:DUNKIN, RAMON S (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:S
Last Name:DUNKIN
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 1:3266 N MERIDIAN ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-5846
Mailing Address - Country:US
Mailing Address - Phone:317-924-8208
Mailing Address - Fax:317-924-8348
Practice Address - Street 1:3266 N MERIDIAN ST
Practice Address - Street 2:SUITE 900
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5846
Practice Address - Country:US
Practice Address - Phone:317-924-8315
Practice Address - Fax:317-924-8324
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01017701A207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100060410AMedicaid
CI0473OtherRAILROAD MEDICARE GROUP
IN111762555OtherRAIL ROAD MEDICARE
111762555OtherRAILROAD MEDICARE
IN000000081335OtherBC/BS MEMORIAL CLINIC
IN331360AMedicare PIN
IN000000081335OtherBC/BS MEMORIAL CLINIC
IN331630AMedicare ID - Type UnspecifiedMEDICARE MEMORIAL CLINIC
IN100060410AMedicaid