Individual
TAVONNA DENISE KAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6002 E 38TH ST, INDIANAPOLIS, IN 46226-5614
(317) 880-6002
(317) 880-0417
Mailing address
701 S GREENLEAF CT, BLOOMINGTON, IN 47403-5858
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01093997A
IN
207VX0000X
Obstetrics Physician
Primary
01093997A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104256339
ANTHEM PTAN
IN
05
—
300093177
—
IN
Enumeration date
08/29/2019
Last updated
11/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us