Individual
RITA ASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1030 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5201
(317) 944-0920
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01088860A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922541275
ANTHEM PTAN
IN
05
—
300069031
—
IN
Enumeration date
11/18/2016
Last updated
02/26/2025
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