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NPI Code Detail

MEDICARE: KATHERINE D DELAROSA MD

MEDICARE: KATHERINE D DELAROSA 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
1207R00000XInternal Medicine Physician01060840AIN
2207R00000XInternal Medicine Physician204859LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366408510
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE D DELAROSA MD
Provider Business Mailing Address
First Line : 8910 PURDUE RD
Second Line : STE.500
City : INDIANAPOLIS
State : IN
Zip : 46268-6100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1009 CHARITY ST
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-5302
Country : US
Telephone Number : 337-893-3443
Fax Number : 337-893-3439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 10/16/2019

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Directions to “ KATHERINE D DELAROSA MD” Practice Location

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