Individual
SAMUEL AYITE LOCOH-DONOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
1701 N SENATE BLVD, DG412, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
(317) 962-5492
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
(317) 962-5975
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01074720A
IN
207P00000X
Emergency Medicine Physician
11017074A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201172290
—
IN
Enumeration date
06/19/2013
Last updated
11/02/2020
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