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Individual

AISHA N DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 UNIVERSITY BLVD # UH1501, INDIANAPOLIS, IN 46202-5149
(317) 948-1310
(317) 948-0503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

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
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