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Individual

RACHAEL HOLLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2162 N MERIDIAN ST STE B, INDIANAPOLIS, IN 46202-1311
(317) 957-2100
(317) 957-2120
Mailing address
2162 N MERIDIAN ST STE B, INDIANAPOLIS, IN 46202-1311
(317) 964-0014
(669) 235-7285

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01076634A
IN
208000000X
Pediatrics Physician
01076634A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669731642
IN
05
201097890
IN
Enumeration date
05/10/2012
Last updated
08/18/2020
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