Individual
GIOVANNA A GIANNICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(317) 491-6000
(317) 491-6534
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
01094707A
IN
207ZP0101X
Anatomic Pathology Physician
185149
CA
207ZP0101X
Anatomic Pathology Physician
185249
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300096289
—
IN
Enumeration date
01/04/2007
Last updated
12/12/2024
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