Individual
ATTAYA SUVANNASANKHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1044 W WALNUT ST, R4 202, INDIANAPOLIS, IN 46202-5254
(317) 274-0843
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
01057119A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01057119
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200447830
—
IN
Enumeration date
04/20/2006
Last updated
03/12/2025
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