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NPI Code Detail

MEDICARE: SONIA BAYANI YBALLE MD

MEDICARE: SONIA BAYANI YBALLE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician01052060AIN
22084P0804XChild & Adolescent Psychiatry Physician01052060AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000320591OTHERINANTHEM BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306838784
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA BAYANI YBALLE MD
Provider Business Mailing Address
First Line : 8840 COMMERCE PARK PL STE E
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-3129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8401 HARCOURT RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2036
Country : US
Telephone Number : 317-338-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 08/07/2015

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