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Individual

JAIME AYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2150 INTELLIPLEX DR STE 134, SHELBYVILLE, IN 46176-8550
(317) 428-2075
(317) 981-2836
Mailing address
2150 INTELLIPLEX DR STE 134, SHELBYVILLE, IN 46176-8550
(317) 428-2075
(317) 981-2836

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01068575A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200990100
IN
01
P00894351
ICCC RAILROAD MEDICARE
IN
Enumeration date
06/09/2008
Last updated
07/23/2021
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