Individual
JASON C MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10590 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1028
(317) 338-6666
(317) 338-6066
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01056467A
IN
208M00000X
Hospitalist Physician
Primary
01056467A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200386420
—
IN
Enumeration date
03/14/2006
Last updated
10/17/2014
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