Individual
DR. JESUS A OCANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
5501 W BETHEL AVE, MUNCIE, IN 47304-8513
(765) 741-2957
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01089787A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019830A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300076627
—
IN
01
—
959090187
MEDICARE PTAN
IN
Enumeration date
05/18/2018
Last updated
08/17/2023
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