Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01063879A | IN |
N | 111NI0900X | Internist | 01063879A | IN |
N | 207RG0300X | Geriatric Medicine | 01063879A | IN |
Y | 207RH0002X | Hospice and Palliative Medicine | 01063879A | IN |
NPI | 1215132865 |
---|---|
Provider Name | Alexia M Torke |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-2872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 20/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200865000 | (05) | IN |
H14398 | (02) | IN |