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ERICH BOOMGARDEN, MD – NPI #1215319751
Diagnostic Radiology

NPI Profile for ERICH BOOMGARDEN in INDIANAPOLIS, IN.

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Contact Information

ERICH BOOMGARDEN, MD
550 UNIVERSITY BLVD
ROOM 0641 - DEPARTMENT OF RADIOLOGY AND IMAGING SCIENCE
INDIANAPOLIS, IN  46202-5149
 Phone: 317-948-2449
 Fax: 317-948-2803
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

 2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for ERICH BOOMGARDEN · (Male)

NPI # 1215319751
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2015
Last updated 06/20/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 11018610A
  • MO License # 2015017146
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
  • MCCULLOUGH-HYDE MEMORIAL HOSPITAL - (Acute Care)
    110 NORTH POPLAR STREET
    OXFORD, OH 45056
  • UNIVERSITY HOSPITAL INC - (Acute Care)
    234 GOODMAN STREET
    CINCINNATI, OH 45219
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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