Individual
THOMAS A FERRARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11398 TALON TRCE # 500, FISHERS, IN 46037-9655
(317) 626-1968
Mailing address
6626 E 75TH ST, 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
01021916A
IN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
01021916A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000476852
ANTHEM
IN
05
—
100048440
—
IN
Enumeration date
05/22/2006
Last updated
08/10/2022
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