Individual
DR. MARIA CAROL POOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1481 W 10TH ST, 116P, INDIANAPOLIS, IN 46202-2803
(317) 963-7300
Mailing address
1481 W 10TH ST, 116P, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1035288
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100127760
—
IN
01
—
CJ7541
MEDICARE RR GROUP#
IN
Enumeration date
08/15/2005
Last updated
09/12/2016
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