Individual
KATSIARYNA SERGEEVNA TSAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01078733A
IN
207R00000X
Internal Medicine Physician
11709336-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
01078733A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001557956
ANTHEM PTAN
IN
01
—
000001558214
ANTHEM PTAN
IN
01
—
1102493263
ANTHEM PTAN
IN
01
—
183380149
MEDICARE PTAN
IN
01
—
264910298
MEDICARE PTAN
IN
05
—
300005240
—
IN
01
—
Q00170701
RAILROAD PTAN
IN
01
—
Q00488569
RAILROAD PTAN
IN
Enumeration date
04/05/2014
Last updated
01/22/2026
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