Individual
MONICA S TEWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8177 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1662
(317) 621-7801
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01052496A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000329170
ANTHEM
IN
05
—
200331590
—
IN
01
—
P00144832
RR MEDICARE
IN
01
—
P01549396
RR MEDICARE
IN
Enumeration date
07/22/2006
Last updated
11/27/2023
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