Andrea Aristizabal
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Indianapolis, IN
NPI 1780763581 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780763581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 11010870A (IN)
- Practice address
- 8240 Naab Rd
Indianapolis, IN 46260-5927 - Phone
- (317) 338-7780
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010870A | IN | MD | Geriatric Medicine (Internal Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 11010870A | IN | Yes |
Addresses
Primary practice location
8240 Naab Rd
Indianapolis, IN 46260-5927
Mailing address
9588 Valparaiso CT
Indianapolis, IN 46268-1130
Other providers in Indianapolis, IN
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- Marta Arjonilla
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All providers in Indianapolis, IN · Geriatric Medicine (Internal Medicine) Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.