Individual
DEANNA M FENOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6911 E US HIGHWAY 36, AVON, IN 46123-8926
(317) 272-8033
(317) 272-8044
Mailing address
1100 SOUTHFIELD DR, SUITE 1370, PLAINFIELD, IN 46168-4498
(317) 837-5571
(317) 837-5580
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01056031A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317590
—
IN
Enumeration date
01/04/2006
Last updated
03/04/2021
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