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Individual

NINOTCHKA LIBAN SIGUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-113391
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01063710A
IN
207RP1001X
Pulmonary Disease Physician
01063710A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
01063710A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200952780
IN
Enumeration date
08/31/2006
Last updated
10/06/2023
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