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Individual

DR. KRISTA I SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6920 PARKDALE PLACE, SUITE 109, INDIANAPOLIS, IN 46254
(317) 328-6800
(317) 328-6840
Mailing address
6920 PARKDALE PLACE, SUITE 109, INDIANAPOLIS, IN 46254
(317) 328-6800
(317) 328-6840

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
01060301
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000364651
ANTHEM
01
5628778
FIRST HEALTH
01
6185773002
CIGNA
Enumeration date
08/31/2006
Last updated
07/08/2007
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