Individual
AISHA N DAVIS
Active
Individual
AISHA N DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01080673A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01080673A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301507439
MI
208M00000X
Hospitalist Physician
01080673A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001211521
ANTHEM PTAN
IN
01
—
1102261790
ANTHEM PTAN
IN
05
—
300020516
—
IN
Enumeration date
04/16/2015
Last updated
12/18/2024
Update your record
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