NPI 1013179829

Sean David Gussick, MD

Practitioner Diagnostic Radiology Physician Indianapolis, IN

Practice location

Address: 1701 N Senate Blvd Radiology Dept, Indianapolis, IN 46202-1239
Phone: (317) 962-5740
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 01063216A (IN)

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Registry record

NPI: 1013179829
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2008
Record last updated: 29 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.