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Individual

LIANA G APOSTOLOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
355 W 16TH STREET, STE 3200, INDIANAPOLIS, IN 46202-2280
(317) 948-5450
(317) 963-7533
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01076007A
IN
2084N0400X
Neurology Physician
A82657
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000966318
ANTHEM PTAN
IN
05
00A826570
CA
05
201329890
IN
Enumeration date
07/12/2006
Last updated
03/05/2025
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