Individual
NATASHA DUDIKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE STE 300, MUNCIE, IN 47303-3432
(765) 289-5409
(765) 281-2089
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085237A
IN
207R00000X
Internal Medicine Physician
260315
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01085237A
IN
207RP1001X
Pulmonary Disease Physician
01085237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300050858
—
IN
01
—
M22404235
MEDICARE PTAN
IN
01
—
P02660174
RAILROAD PTAN
IN
Enumeration date
07/14/2014
Last updated
12/28/2023
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