Individual
DR. AYESHA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 544-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 540-0000
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
1072440A
IN
2084P0800X
Psychiatry Physician
Primary
1072440A
IN
Other
Enumeration date
06/18/2009
Last updated
04/26/2024
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