Individual
ANIQA A KOHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10101 ERNST RD STE 1400, ROANOKE, IN 46783-9711
(260) 234-5400
(317) 222-2372
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101282848
VA
207R00000X
Internal Medicine Physician
01093064A
IN
207R00000X
Internal Medicine Physician
71788
TN
207RG0100X
Gastroenterology Physician
0101282848
VA
207RG0100X
Gastroenterology Physician
Primary
01093064A
IN
207RG0100X
Gastroenterology Physician
285200
NY
207RG0100X
Gastroenterology Physician
71788
TN
207RG0100X
Gastroenterology Physician
75636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104324324
ANTHEM PTAN
IN
05
—
300096561
—
IN
Enumeration date
07/17/2013
Last updated
03/12/2025
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