Individual
PATRINA OPAL AGOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD STE 2301, INDIANAPOLIS, IN 46202-5149
(317) 948-4103
(317) 948-7454
Mailing address
550 UNIVERSITY BLVD STE 2301, INDIANAPOLIS, IN 46202-5149
(317) 948-4103
(317) 948-7454
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
01089837A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
06/28/2023
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