Individual
PAOLA KATHERINE FERNANDEZ SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-7666
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
82229
WI
208M00000X
Hospitalist Physician
Primary
82229
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861986606
—
WI
Enumeration date
06/15/2018
Last updated
09/16/2025
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