Individual
RITA S. DEVNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5502 E 16TH ST STE A12, INDIANAPOLIS, IN 46218-4937
(317) 355-2122
(317) 351-7859
Mailing address
5502 E 16TH ST STE A12, INDIANAPOLIS, IN 46218-4937
(317) 355-2122
(317) 351-7859
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
IN01035871
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002261
ANTHEM LEGACY
IN
05
—
100354970
—
IN
Enumeration date
11/21/2006
Last updated
05/06/2008
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