Individual
THERESA OMOLARA EMELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 W MICHIGAN ST STE 630, INDIANAPOLIS, IN 46202-5209
(317) 278-2689
Mailing address
1120 W MICHIGAN ST STE 630, INDIANAPOLIS, IN 46202-5209
(317) 278-2689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01090836A
IN
208D00000X
General Practice Physician
01090836A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
04/05/2022
Last updated
06/02/2025
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