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Individual

DR. JESUS ARTHUR PELONIA LOQUIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260
(317) 338-3634
Mailing address
250 W 96TH ST # 520, INDIANAPOLIS, IN 46260-1316

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01065711A
IN
208M00000X
Hospitalist Physician
01065711A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000976641
ANTHEM
IN
05
200925130
IN
Enumeration date
11/19/2008
Last updated
08/30/2018
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