Individual
DIANE M JANOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01062495A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010624995A
LICENSE
IN
05
—
200831710
—
IN
01
—
P01181720
RAILROAD MEDICARE
IN
Enumeration date
08/09/2006
Last updated
02/05/2014
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