Individual
MONICA RANI O'DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1130 WEST MICHIGAN STREET, FESLER HALL 204, INDIANAPOLIS, IN 46202
(317) 274-0076
Mailing address
1130 WEST MICHIGAN STREET, FESLER HALL 204, INDIANAPOLIS, IN 46202
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207L00000X
Anesthesiology Physician
Primary
02006829A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2018
Last updated
04/21/2023
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