Individual
DR. MARY JEANNE O'GARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3520 GUION RD, STE 100, INDIANAPOLIS, IN 46222-1692
(317) 920-3240
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1062672A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200849810
—
IN
01
—
P01723995
RAILROAD PTAN
IN
Enumeration date
01/17/2007
Last updated
09/29/2025
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