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Individual

ZARAH-ANN A ALBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068630A
IN
207R00000X
Internal Medicine Physician
036.119339
IL
208M00000X
Hospitalist Physician
01068630A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000671369
ANTHEM PROVIDER NUMBER
IN
05
201004290
IN
Enumeration date
09/19/2005
Last updated
01/28/2021
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