Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D25334 | MD |
N | 111NI0900X | Internist | D25334 | MD |
N | 207SG0201X | Clinical Genetics (M.D.) | D025334 | MD |
NPI | 1083657613 |
---|---|
Provider Name | Clair Francomano |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 21/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
381451300 | (05) | MD |
C57719 | (02) | MD |