Individual
DR. TINA A AYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8111 S EMERSON AVE STE 204, INDIANAPOLIS, IN 46237-8601
(317) 528-2555
(317) 528-2566
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
128304
NC
207VX0201X
Gynecologic Oncology Physician
Primary
01076188A
IN
207VX0201X
Gynecologic Oncology Physician
104397
MN
207VX0201X
Gynecologic Oncology Physician
52152
MN
207VX0201X
Gynecologic Oncology Physician
P4545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308690201 (MDACC)
—
TX
Enumeration date
06/13/2008
Last updated
01/04/2023
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