person
Ronald Mastouri, MD
Cardiovascular Disease Physician in Indianapolis, Indiana
NPI 1134389968

Ronald Mastouri is a Cardiovascular Disease Physician based in Indianapolis, IN and is specialized in Cardiovascular Disease. Ronald Mastouri practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Ronald Mastouri is 1134389968 and holds a License No. 11012317A (Indiana).

The current practice location address for Ronald Mastouri is 1801 N Senate Ave, Indianapolis, IN and can be reached out via phone at 317-962-0095 and via fax at 317-962-0113.

Location: 1801 N Senate Ave, Indianapolis, IN, 46219-4959
person
Provider Profile Details
NPI Number
1134389968
Provider Name
Ronald Mastouri
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1801 N Senate Ave, Indianapolis, IN, 46219-4959
Phone Number
317-962-0095
Fax Number
317-962-0113
Provider Enumeration Date
06/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00910464 01 IN RAILROAD MEDICARE
200982540 05 IN
institution
Provider Business Practice Location Address Details
Address
1801 N Senate Ave
City
State
Zip
46202
Phone Number
317-962-0095
Fax Number
317-962-0113
person
Provider Business Mailing Address Details
Address
1801 N Senate Ave
City
State
Zip
46202
Phone Number
317-962-0095
Fax Number
317-962-0113
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
01067326A (Indiana)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
11012317A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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