Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 01072289A | IN |
N | 207RR0500X | Rheumatology | 240903 | NY |
NPI | 1134236789 |
---|---|
Provider Name | Monica Mihaela Aloman |
First Address | Greenwood, IN 46143-7241 |
Second Address | Munster, IN 46321-2911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 12/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01072289A | LICENSE (01) | IN |
201148110 | (05) | IN |