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Individual

SONIA BAYANI YBALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8401 HARCOURT RD, INDIANAPOLIS, IN 46260-2036
(317) 338-4600
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01052060A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
01052060A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000320591
ANTHEM BCBS
IN
05
200449740
IN
Enumeration date
08/22/2005
Last updated
08/07/2015
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