Individual
PAOLA M ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 497-6675
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01084420A
IN
207R00000X
Internal Medicine Physician
Primary
R2719
TX
Other
Enumeration date
08/30/2013
Last updated
06/19/2021
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