Individual
PAULA YANINA VILLAREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4050 CENTRAL AVE, COLUMBUS, IN 47203-1851
(812) 376-9427
(812) 378-6174
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 375-3000
(812) 375-3477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
07073927A
IN
207R00000X
Internal Medicine Physician
Primary
125060367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000983475
ANTHEM PIN
IN
05
—
201257320
—
IN
Enumeration date
06/22/2011
Last updated
07/17/2019
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