Individual
MARY L MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7979 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46250-2042
(317) 621-4300
(317) 621-4301
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
01040769A
IN
207RH0003X
Hematology & Oncology Physician
01040769A
IN
207RX0202X
Medical Oncology Physician
Primary
01040769A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092001
ANTHEM BCBS
IN
01
—
000000902313
ANTHEM
IN
05
—
100100060
—
IN
01
—
2048872
CIGNA
IN
01
—
4323595
AETNA
IN
01
—
P01456909
RR MEDICARE
IN
01
—
P01751205
RR MEDICARE
IN
Enumeration date
06/15/2005
Last updated
09/06/2023
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