Individual
ANNA A KANTZAVELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 N CAPITOL AVE, NOYES PAVILION E140, INDIANAPOLIS, IN 46202-1218
(317) 962-2894
(317) 963-5285
Mailing address
6640 PARKDALE PL, SUITE K, INDIANAPOLIS, IN 46254-5656
(317) 216-3033
(317) 216-6093
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10000758A
IN
Other
Enumeration date
05/26/2006
Last updated
09/10/2008
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