Individual
ISHAN DOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-2000
Mailing address
25343 KINSALE PL, ALDIE, VA 20105-3066
(571) 639-1836
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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