Individual
FERNANDO MANUEL PELLERANO SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10300 N ILLINOIS ST, CARMEL, IN 46290-1166
(317) 817-8080
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01097961A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
04/17/2026
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