Individual
NOORAH KOITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2281
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 893-2210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036138178
IL
Other
Enumeration date
03/20/2012
Last updated
10/05/2015
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