Individual
CRISTINA SIMONA IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 WISHARD BLVD, RG 6TH FLOOR, INDIANAPOLIS, IN 46202-2872
(317) 274-4455
(317) 278-4918
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-2720
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01065170A
IN
2084N0400X
Neurology Physician
216619
MA
2084V0102X
Vascular Neurology Physician
Primary
01065170A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000627778
ANTHEM PTAN
IN
01
—
0035620
NHP
MA
01
—
01Y008643MA01
ANTHEM
NH
01
—
05-01246
EVERCARE
MA
05
—
200908480
—
IN
05
—
2104873
—
MA
01
—
3981555
AETNA
MA
01
—
460281
THP
MA
01
—
93367
FCHP
MA
01
—
AA39276
HPHC
MA
01
—
J28937
BCBS
MA
01
—
P00761824
RAILROAD MEDICARE PTAN
IN
Enumeration date
09/27/2005
Last updated
03/11/2025
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