Individual
MICHAEL SURU ADOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 SHORE DR STE 315, INDIANAPOLIS, IN 46254-4693
(317) 429-0061
Mailing address
6185 RHINECLIFF DR, WHITESTOWN, IN 46075-7594
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
28277857A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28277857A
IN
Other
Enumeration date
04/18/2026
Last updated
04/21/2026
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