Most Relevant Information
Provider Data
| NPI Number: | 1003828682 |
| Provider Name: | RANDALL M. TODD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 01035235 |
Most Important Dates
| Enumeration Date: | 08/12/2006 |
| Last Updated: | 09/08/2015 |
Provider Practice Location
8111 S EMERSON AVE
INDIANAPOLIS
IN
462378601
Practice Location Phone/Fax
| Phone: | 3175285261 |
| Fax: | 3175285026 |
Provider Mailing Location
PO BOX 7112
DEPT. #31
INDIANAPOLIS
IN
462077112
Provider Mailing Phone/Fax
| Phone: | 8665162307 |
| Fax: | 8885162306 |