Individual
NAKIISA M ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01058163A
IN
2085R0202X
Diagnostic Radiology Physician
35.085961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370417
ANTHEM BCBS
OH
01
—
000000618596
ANTHEM BCBS
IN
05
—
200946150
—
IN
05
—
2557504
—
OH
01
—
822400059
MEDICARE
IL
01
—
P00221389
RAILROAD MEDICARE
OH
01
—
P00787057
RAILROAD MEDICARE
IN
Enumeration date
03/28/2006
Last updated
01/13/2021
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