Individual
AMARILYS HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 614-9850
(317) 614-9655
Mailing address
PO BOX 7232, DEPT 165, INDIANAPOLIS, IN 46207-7232
(317) 614-9850
(317) 614-9655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01053437
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200326280
—
IN
Enumeration date
05/27/2006
Last updated
01/08/2015
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