Individual
VICENTA SALANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-8800
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
01039194A
IN
2084N0400X
Neurology Physician
Primary
01039194A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087149
ANTHEM
IN
05
—
100176980
—
IN
Enumeration date
07/25/2006
Last updated
03/06/2025
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