Individual
MICHELE COLLEEN CABELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8803 N MERIDIAN ST STE 175, INDIANAPOLIS, IN 46260-5310
(317) 962-6875
(317) 962-0000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01066926A
IN
207RN0300X
Nephrology Physician
Primary
01066926A
IN
207RN0300X
Nephrology Physician
2002012292
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200950800
—
IN
05
—
209387109
—
MO
Enumeration date
07/14/2006
Last updated
03/16/2025
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