Individual
MELANIE S HENIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, RM AG 001, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
(317) 962-8652
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01042774
IN
207P00000X
Emergency Medicine Physician
Primary
01042774A
IN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
01042774A
IN
208000000X
Pediatrics Physician
01042774A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
01042774A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586513
ANTHEM PROVIDER NUMBER
IN
05
—
200028340
—
IN
01
—
930069507
RAILROAD MEDICARE
IN
01
—
P00859144
RAILROAD MEDICARE PTAN
IN
Enumeration date
06/12/2006
Last updated
11/19/2024
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