Individual
ROSA M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10122 E 10TH ST, SUITE 240, INDIANAPOLIS, IN 46229-2887
(317) 355-7337
(317) 355-7329
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
(317) 355-2184
(317) 355-7329
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01062155A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525317
ANTHEM
IN
05
—
200870150
—
IN
Enumeration date
11/21/2006
Last updated
11/27/2023
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