Individual
GEORGIA K DORULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 ALBANY ST, SUITE 906, BEECH GROVE, IN 46107-1557
(317) 787-3296
(317) 783-4107
Mailing address
1500 ALBANY ST, SUITE 906, BEECH GROVE, IN 46107-1557
(317) 787-3296
(317) 783-4107
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1042298
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109950
ANTHEM
IN
01
—
P00032561
RAILROAD MEDICARE
—
01
—
P00032566
RAILROAD MEDICARE
—
01
—
P00032765
RAILROAD MEDICARE
—
01
—
P00032884
RAILROAD MEDICARE
—
01
—
P00032995
RAILROAD MEDICARE
—
01
—
P00032996
RAILROAD MEDICARE
—
01
—
P00033075
RAILROAD MEDICARE
—
01
—
P00033093
RAILROAD MEDICARE
—
01
—
P00033113
RAILROAD MEDICARE
—
01
—
P00033114
RAILROAD MEDICARE
—
01
—
P00033126
RAILROAD MEDICARE
—
01
—
P00408569
RAILROAD MEDICARE
—
Enumeration date
09/06/2005
Last updated
01/09/2008
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