Individual
TAMARA I MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-8239
(317) 948-7800
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01060787A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102515160
ANTHEM PTAN
IN
05
—
200519800
—
IN
Enumeration date
10/18/2005
Last updated
03/14/2025
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