Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 01059619A | IN |
NPI | 1083794168 |
---|---|
Provider Name | Dr. Zenaida Reyes Tauscher |
First Address | Indianapolis, IN 46260-2479 |
Second Address | Indianapolis, IN 46260-2479 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 02/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000393537 | ANTHEM BCBS (01) | |
200525390A | (05) | IN |