Individual
MARIA E FAGET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 INTELLIPLEX DR STE 230, SHELBYVILLE, IN 46176-8581
(317) 398-0193
(317) 398-0727
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01072028A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01072028A
STATE LICENSE
IN
01
—
16563
STATE LICENSE
PR
05
—
201135190
—
IN
Enumeration date
07/05/2007
Last updated
07/12/2024
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