Individual
LAURA B CALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8820 S MERIDIAN STREET, SUITE 125, INDIANAPOLIS, IN 46217-6060
(317) 865-6600
(317) 865-6616
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01069638A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000719450
ANTHEM PIN
IN
05
—
201021890
—
IN
Enumeration date
04/26/2010
Last updated
07/31/2024
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