Individual
DR. LOLA CHABTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1801 N SENATE BLVD, INDIANAPOLIS, IN 46202-1228
(317) 923-1787
(317) 962-2853
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01082763A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01082763A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017054A
IN
Other
Enumeration date
06/12/2013
Last updated
07/12/2022
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