Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 01081908A | IN |
N | 208G00000X | Cardiothoracic Vascular Surgeon | MD458797 | PA |
NPI | 1134434152 |
---|---|
Provider Name | Dr. Fatuma Kromah |
First Address | Indianapolis, IN 46202-5112 |
Second Address | Indianapolis, IN 46202-1228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2010 |
Last Update Date | 19/04/2019 |