Individual
PAULA CEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1426 MAIN ST, INDIANAPOLIS, IN 46224-6526
(317) 486-2350
(317) 486-2356
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-00559
NC
363A00000X
Physician Assistant
Primary
1001044A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01405396
RAILROAD MEDICARE
IN
01
—
P01539668
RAILROAD PTAN
IN
Enumeration date
11/01/2006
Last updated
01/06/2016
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