Individual
MARA E NITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, ROC 4270, INDIANAPOLIS, IN 46202-5109
(317) 278-7738
(317) 274-7227
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01054833
IN
208000000X
Pediatrics Physician
01054833A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
01054833A
IN
2080P0214X
Pediatric Pulmonology Physician
01054833
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770692741
—
MI
05
—
200336180
—
IN
05
—
64040645
—
KY
01
—
P01824519
RR MEDICARE
IN
Enumeration date
08/30/2006
Last updated
02/13/2026
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