Individual
SUSHMITHA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14645 HAZEL DELL RD STE 100, NOBLESVILLE, IN 46062-7067
(317) 678-4300
(317) 678-4310
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01096670A
IN
207R00000X
Internal Medicine Physician
133736
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100005931
ANTHEM
IN
05
—
300119091
—
IN
Enumeration date
07/01/2014
Last updated
11/21/2025
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