Provider Demographics
NPI:1427064492
Name:RANKIN, PATRICK E (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:E
Last Name:RANKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13121 OLIO RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-7240
Mailing Address - Country:US
Mailing Address - Phone:317-621-1300
Mailing Address - Fax:317-621-1310
Practice Address - Street 1:13121 OLIO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7240
Practice Address - Country:US
Practice Address - Phone:317-621-1300
Practice Address - Fax:317-621-1310
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01037400A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100097690Medicaid
IN000000358331OtherANTHEM
IN224310AMedicare PIN
IN000000358331OtherANTHEM
IN100097690Medicaid
INP00257546Medicare PIN