Individual
DR. OLIVE MARY SORIERO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.,PH.D
Contact information
Practice address
8330 NAAB RD, 305, INDIANAPOLIS, IN 46260-5925
(317) 872-6466
(317) 872-6498
Mailing address
8330 NAAB RD, SUITE 305, INDIANAPOLIS, IN 46260-5925
(317) 872-6466
(317) 872-6498
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01043049
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000078049
ANTHEM
IN
01
—
0678748007 PAL
CIGNA
IN
01
—
1309576
FIRST HEALTH
IN
01
—
I019461
TRICARE
IN
Enumeration date
11/16/2005
Last updated
07/08/2007
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