Individual
DR. THALIA RAYA PACHIYANNAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 HADLEY RD STE 120, MOORESVILLE, IN 46158-1934
(317) 834-8950
(317) 834-8951
Mailing address
PO BOX 781076, DETROIT, MI 48278-1008
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01072322A
IN
207V00000X
Obstetrics & Gynecology Physician
4301094455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01072322A
IN LICENSE
IN
01
—
1275860314
NPI
IN
Enumeration date
11/11/2009
Last updated
02/16/2026
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