Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 01078558A | IN |
NPI | 1003082215 |
---|---|
Provider Name | Dr. Sharmilee Thota |
First Address | Indianapolis, IN 46143-7241 |
Second Address | Michigan City, IN 46360-0021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 12/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300003493 | (05) | IN |