Individual
DR. ELENA FOMICHEVA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 WEST 11TH ST, INDIANAPOLIS, IN 46202
(317) 491-6336
(317) 491-6334
Mailing address
5958 NORTHLAND RD, INDIANAPOLIS, IN 46228-1072
(317) 293-4799
(317) 491-6334
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01059075A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME158613
FL
Other
Enumeration date
02/12/2007
Last updated
08/29/2024
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