Individual
MARIA DE LOS ANGELES MASUMI GAMARRA TALLEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 ESKENAZI AVE FL 2, INDIANAPOLIS, IN 46202-5189
(317) 880-7000
Mailing address
705 RILEY HOSPITAL DR., RI-5837, INDIANAPOLIS, IN 46202
(317) 944-4034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01092127A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2020
Last updated
07/25/2025
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