Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 01040709 | IN |
NPI | 1346340734 |
---|---|
Provider Name | James G Donahue |
First Address | Indianapolis, IN 46237 |
Second Address | Indianapolis, IN 46237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 08/07/2007 |