Individual
ESMERALDA GUTIERREZ-ASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-2000
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01084083A
IN
207R00000X
Internal Medicine Physician
R9973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400559701
—
TX
05
—
400559702
—
TX
Enumeration date
07/09/2012
Last updated
02/08/2021
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