Individual
DIMITRA MARIA LOTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, RILEY 2500, INDIANAPOLIS, IN 46202-5109
(317) 274-3215
Mailing address
705 RILEY HOSPITAL DR, RILEY 2500, INDIANAPOLIS, IN 46202-5109
(317) 274-3215
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01093153A
IN
208600000X
Surgery Physician
4301504246
MI
2086S0102X
Surgical Critical Care Physician
01093153A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
01093153A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301504246
MI
Other
Enumeration date
06/08/2015
Last updated
07/24/2024
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