Individual
PHILOMENA JACINTHA DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3838 N. RURAL, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
(317) 221-2336
Mailing address
638 E. VERMONT, INDIANAPOLIS, IN 46202
(317) 510-8574
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
01034355A
IN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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