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Individual

DR. SAURA FORTIN ERAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
720 ESKENAZI AVE FL 2, INDIANAPOLIS, IN 46202-5189
(317) 880-7000
(317) 880-0526
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11013987A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000682012
ANTHEM
IN
05
200991120
IN
Enumeration date
07/07/2008
Last updated
09/16/2025
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