Individual
JORGE M DIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 INTELLIPLEX DR STE 260, SHELBYVILLE, IN 46176-8580
(317) 398-0121
Mailing address
2451 INTELLIPLEX DR, STE 260, SHELBYVILLE, IN 46176-8580
(305) 243-4664
(305) 243-9927
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
01077464A
IN
207RN0300X
Nephrology Physician
Primary
01077464A
IN
Other
Enumeration date
06/30/2006
Last updated
10/12/2021
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