Individual
TESSA M ASDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
533 E COUNTY LINE RD, SUITE 102, GREENWOOD, IN 46143-1048
(317) 497-6626
(317) 887-4691
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01043684A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229539
ANTHEM
IN
01
—
0005624041
AETNA
IN
05
—
200072050
—
IN
01
—
P00109136
RAILROAD MEDICARE
IN
01
—
P01588215
RR MEDICARE
IN
Enumeration date
07/29/2005
Last updated
11/27/2023
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