Individual provider · Type 1 NPI

Ivan Roubal, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1033905013 Active

Practice location

550 University Blvd # 641
Indianapolis, IN 46202-5149

Call (317) 278-7056 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X11025136A (IN)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1033905013

Ivan Roubal, MD's National Provider Identifier is 1033905013, issued on Apr 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 4, 2026.