Individual
CRISTINA NANCY PEREZ CHUMBIAUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01082543A
IN
207RR0500X
Rheumatology Physician
Primary
01082543A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018394A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001586539
ANTHEM PTAN
IN
05
—
201295170
—
IN
Enumeration date
04/09/2015
Last updated
03/25/2025
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